Individual
MS. AUTUMN NICOLE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5422 EVERSON RD N, COLUMBUS, OH 43232-5927
(614) 743-4900
Mailing address
5422 EVERSON RD N, COLUMBUS, OH 43232-5927
(614) 743-4900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-155698-M-IV
OH
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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