Individual
MRS. TANYA E REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 EAST ST SE STE 301, VIENNA, VA 22180-4800
(703) 938-5555
Mailing address
12167 OPEN MEADOW LN, BRISTOW, VA 20136-2414
(703) 201-9436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F06180058
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F06180058
VA
Other
Enumeration date
06/07/2018
Last updated
05/15/2024
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