Reynolds, Andrea Marie

Reynolds, Andrea Marie is an individual health care provider with primary practice located at 1800 Maple Road Suite 100, Williamsville NY 14221-2749. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Reynolds, Andrea Marie can be contacted via phone (716) 636-5437.

Contact Information

Primary practice address
1800 Maple Road Suite 100 Williamsville NY 14221-2749
Phone: (716) 636-5437
Fax: (716) 276-3190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382141 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X APRN9278522 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9278522 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9278522 Florida

Profile Details

NPI number 1811209695
LBN Legal business name Reynolds, Andrea Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Oct 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811209695 NPPES
Florida MEDICAID 023348100

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