Reynolds, Heather Dawn

Reynolds, Heather Dawn is an individual health care provider with primary practice located at 20 York St Women'S Center Tmpb, New Haven CT 06504-8900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Reynolds, Heather Dawn can be contacted via phone (203) 688-4101.

Contact Information

Primary practice address
20 York St Women'S Center Tmpb New Haven CT 06504-8900
Phone: (203) 688-4101
Fax: (203) 688-7274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000042 Connecticut

Profile Details

NPI number 1538160221
LBN Legal business name Reynolds, Heather Dawn
Credentials CNM, MSN, FACNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 27th, 2013 - about 11 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 1538160221 NPPES
Connecticut MEDICAID 004147452

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