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Individual

MARCIA VELEET REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
27 MARROWS ROAD, NEWARK, DE 19713
(302) 652-2455
(302) 322-6251
Mailing address
2 PENNS WAY, SUITE 412, NEW CASTLE, DE 19720
(302) 652-2455
(302) 322-6251

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AC000326
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0000350
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L1-0002413
RN LICENSE
DE
01
LG-0000350
STATE LICENSE
DE
Enumeration date
02/15/2006
Last updated
04/08/2016
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