Individual
MR. JUSTIN ALAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6750 E BAYWOOD AVE # 401, MESA, AZ 85206-1749
(480) 835-7111
(480) 969-9345
Mailing address
6750 E BAYWOOD AVE # 401, MESA, AZ 85206-1749
(480) 835-7111
(480) 969-9345
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1144183
KY
363L00000X
Nurse Practitioner
270825
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
270825
AZ
Other
Enumeration date
02/07/2022
Last updated
04/21/2026
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