Individual
ELLEN PATRICIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNP
Contact information
Practice address
52 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-1521
Mailing address
31 ESTATES DR, OWEGO, NY 13827-1054
(607) 687-6404
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F320013-1
NY
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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