Individual
MRS. PAULA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3030 N CIRCLE DR STE 214, COLORADO SPRINGS, CO 80909-1180
(719) 634-2503
(719) 634-2686
Mailing address
160 DESERT INN WAY, COLORADO SPRINGS, CO 80921-2642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE667054
BLUE SHIELD
CO
Enumeration date
04/24/2007
Last updated
05/30/2008
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