Individual
WENDY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC, ANLC
Contact information
Practice address
218 JEFFERSON STREET, BROOKVILLE, PA 15825
(814) 715-2548
Mailing address
218 JEFFERSON ST, BROOKVILLE, PA 15825-1145
(814) 715-2548
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN582429
PA
163WN0002X
Neonatal Intensive Care Registered Nurse
RN582429
PA
Other
Enumeration date
05/28/2014
Last updated
02/11/2015
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