Reynolds, Justin Alan

Reynolds, Justin Alan is an individual health care provider with primary practice located at 6750 E Baywood Ave # 401 , Mesa AZ 85206-1749. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Reynolds, Justin Alan can be contacted via phone (480) 835-7111.

Contact Information

Primary practice address
6750 E Baywood Ave # 401 Mesa AZ 85206-1749
Phone: (480) 835-7111
Fax: (480) 969-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1144183 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 270825 Arizona

Profile Details

NPI number 1336893692
LBN Legal business name Reynolds, Justin Alan
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2022
Last updated Feb 1st, 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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