Individual
MS. ANGELA LYNN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(816) 922-2750
Mailing address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(168) 922-2750
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
14-147910-062
KS
163WP2201X
Ambulatory Care Registered Nurse
Primary
153633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153633
RN LICENSE
MO
Enumeration date
12/05/2005
Last updated
02/19/2025
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