Individual
DEBORAH RENAE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 620-1238
Mailing address
PO BOX 396, GLENWOOD, AR 71943-0396
(870) 356-2676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01534
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154600758
—
AR
Enumeration date
10/04/2006
Last updated
07/06/2022
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