Individual
MS. LATRISTA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5905 US HIGHWAY 301 S, RIVERVIEW, FL 33578-3800
(866) 389-2727
Mailing address
5905 US HIGHWAY 301 S, RIVERVIEW, FL 33578-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9270008
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARPN927008
FL
Other
Enumeration date
09/15/2013
Last updated
08/22/2024
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