Individual
MATTHEW DAVID REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1695 N SUNRISE WAY, PALM SPRINGS, CA 92262-3701
(760) 323-2118
Mailing address
2201 S PALM CANYON DR APT 110, PALM SPRINGS, CA 92264-9339
(415) 286-8815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95040508
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95009762
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2017
Last updated
08/09/2022
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