Individual
MRS. LAURA NICOLE REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
7429 IDLE HOUR DRIVE, CORPUS CHRISTI, TX 78414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP138570
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP138570
TX
Other
Enumeration date
08/27/2018
Last updated
06/24/2021
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