Individual
ELIZABETH MARILYN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 S MAIN ST, CHESHIRE, CT 06410-3418
(203) 272-3255
Mailing address
10 BIRDSEYE RD, STE 100, FARMINGTON, CT 06032-2489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8312
CT
Other
Enumeration date
05/30/2019
Last updated
08/17/2020
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