Individual
MS. LYNN M REYNOLDS COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5000
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R23311
ND
367500000X
Certified Registered Nurse Anesthetist
100859
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
R23311
ND
367H00000X
Anesthesiologist Assistant
R23311
ND
Other
Enumeration date
06/20/2006
Last updated
08/22/2019
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