Individual
MARY ELLAINE REYNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
(203) 932-4051
Mailing address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(039) 326-4812
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13539
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
02/06/2024
Last updated
11/13/2024
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