Individual
AUDREE JEAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4875 MAXWELL AVE, EL PASO, TX 79904-1450
(915) 533-7057
(915) 757-1640
Mailing address
3607 RIVERA AVE, EL PASO, TX 79905-2415
(915) 533-7057
(915) 757-1640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
419649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103873902
—
TX
01
—
419649
RN & FNP LICENSE
TX
Enumeration date
09/17/2006
Last updated
12/12/2011
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