Individual
SHEILA A REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 N REVERE RD, MEQUON, WI 53092-3555
(262) 241-5177
Mailing address
11300 N REVERE RD, MEQUON, WI 53092-3555
(262) 241-5177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1734-33
WI
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
1734-33
WI
Other
Enumeration date
01/13/2014
Last updated
10/25/2016
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