Reynolds, Dixie Leah

Reynolds, Dixie Leah is an individual health care provider with primary practice located at 202 N Division St Ste 202 , Auburn WA 98001-4939. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Reynolds, Dixie Leah can be contacted via phone (253) 876-8088.

Contact Information

Primary practice address
202 N Division St Ste 202 Auburn WA 98001-4939
Phone: (253) 876-8088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9219864 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60448863 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60448863 Washington

Profile Details

NPI number 1235499930
LBN Legal business name Reynolds, Dixie Leah
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Jun 18th, 2014 - about 10 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 1235499930 NPPES
Florida Other Y0AW9 BLUE CROSS BLUE SHIELD
Florida MEDICAID 005850200 BLUE CROSS BLUE SHIELD

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