Individual
MR. BRIAN JOSEPH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP/NP
Contact information
Practice address
2363 S 102ND ST STE 201, WEST ALLIS, WI 53227-2143
(262) 999-7350
(262) 393-2529
Mailing address
7619 SHERIDAN RD, KENOSHA, WI 53143-1519
(262) 234-7393
(262) 393-2529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11003
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11003-33
WI
Other
Enumeration date
06/14/2021
Last updated
09/07/2025
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