Individual
MARY E. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
2 ESSEX CENTER DR, BH DEPT, PEABODY, MA 01960-2930
(978) 977-4320
(978) 977-4335
Mailing address
2 ESSEX CENTER DR, BH DEPT, PEABODY, MA 01960-2930
(978) 977-4320
(978) 977-4335
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
143712
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036949
NEIGHBORHOOD HEALTH PLAN
MA
01
—
680063
TUFTS HEALTH PLAN
MA
01
—
PN0742
BLUE CROSS
MA
Enumeration date
07/26/2006
Last updated
10/13/2009
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