Individual
AMBER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4771 S CLEVELAND AVE FL 33907, FORT MYERS, FL 33907-1317
(239) 343-9800
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23489
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN11029588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120790300
—
FL
Enumeration date
11/01/2013
Last updated
03/07/2024
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