Reynolds, Deann

Reynolds, Deann is an individual health care provider with primary practice located at 3160 Vista Blvd , Sparks NV 89436-6703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reynolds, Deann can be contacted via phone (775) 352-7200.

Contact Information

Primary practice address
3160 Vista Blvd Sparks NV 89436-6703
Phone: (775) 352-7200
Fax: (775) 352-7222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 404 Nevada

Profile Details

NPI number 1871573915
LBN Legal business name Reynolds, Deann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 27th, 2019 - about 6 years ago

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 1871573915 NPPES
Nevada MEDICAID 002410026

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