Individual
MRS. ALINA VICTOROVNA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Mailing address
1900 DON WICKHAM DR, MP SL ADMIN, CLERMONT, FL 34711-1979
(352) 536-8840
(352) 536-8841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9236675
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
ARNP9236675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008855900
—
FL
01
—
ARNP9236675
MEDICAL LICENSE
FL
Enumeration date
03/29/2011
Last updated
09/24/2018
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