Individual
MS. PHOENIX DAWN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 N 156TH ST STE 2022, OMAHA, NE 68116-1440
(402) 838-2321
(402) 702-0586
Mailing address
8340 SW 65TH AVE APT 7, MIAMI, FL 33143-7948
(786) 521-5824
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11039061
FL
Other
Enumeration date
04/26/2025
Last updated
11/14/2025
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