Individual
ANGELA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1903 W HEBRON LN, SHEPHERDSVILLE, KY 40165-7425
(502) 647-4154
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009734A
IN
363LF0000X
Family Nurse Practitioner
3015475
KY
363LF0000X
Family Nurse Practitioner
71009734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100841280
—
KY
Enumeration date
11/14/2019
Last updated
04/02/2025
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