Individual
ANNAMARIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17259 JASMINE ST STE A, VICTORVILLE, CA 92395-7787
(760) 843-9414
(760) 843-7050
Mailing address
15160 LAS PIEDRAS DR, VICTORVILLE, CA 92395-3628
(760) 985-3562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
302660
AZ
363LF0000X
Family Nurse Practitioner
Primary
95003242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302660
STATE LICENSE
AZ
Enumeration date
07/01/2016
Last updated
01/30/2025
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