Individual
MR. BRAND PAXTON REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
491 N MAIN ST, TOOELE, UT 84074
(435) 843-8881
Mailing address
491 N MAIN ST, TOOELE, UT 84074-1654
(435) 833-9108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
271062-4405
UT
363LF0000X
Family Nurse Practitioner
271062-4405
UT
Other
Enumeration date
06/09/2005
Last updated
12/17/2020
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