Individual
CHRISTINE REYNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
53762
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53762
—
OK
Enumeration date
10/05/2020
Last updated
10/05/2020
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