Individual
MRS. SUSAN S. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
220 WILSON ST, STE 109, CARLISLE, PA 17013-3697
(717) 249-1929
(717) 249-9332
Mailing address
220 WILSON ST, STE 109, CARLISLE, PA 17013-3697
(717) 249-1929
(717) 249-9332
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP000398A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP000398A
CRNP LICENSE NUMBER
PA
Enumeration date
07/03/2006
Last updated
04/09/2018
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