Individual
MRS. MELISSA A REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3129 N BLAIR AVE, ROYAL OAK, MI 48073-3520
(248) 225-8435
Mailing address
3129 N BLAIR AVE, ROYAL OAK, MI 48073-3520
(248) 225-8435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704312011
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
09/29/2025
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