Individual
MARY NGUYEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
134581
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
28203709A
IN
367500000X
Certified Registered Nurse Anesthetist
3011688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011688
KENTUCKY APRN LICENSE
KY
Enumeration date
08/03/2017
Last updated
04/13/2023
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