Individual
SANDRA MAE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3905 CRESCENT PARK DR, RIVERVIEW, FL 33578-3625
(813) 580-5000
Mailing address
3905 CRESCENT PARK DR, RIVERVIEW, FL 33578-3625
(813) 580-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11045075
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9643234
FL
Other
Enumeration date
12/18/2025
Last updated
04/10/2026
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