AMY REYNOLDS CRNP NPI 1205088903

NPI Information

NPI: 1205088903
Provider Name: AMY REYNOLDS, CRNP
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
1 WAHOO AVE
GROTON, CT
ZIP 06349
Phone: (860) 694-2493
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Amy Reynolds, CRNP is an occupational health nurse practitioner in Groton, CT. Amy Reynolds, CRNP NPI is 1205088903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WAHOO AVE
GROTON, CT
ZIP 06349-324
Phone: (860) 694-2493

The enumeration date for this NPI number is 10/14/2008 and was last updated on 4/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		1-055560	ALABAMA	No
2	363LX0106X	Nurse Practitioner	Occupational Health	1-055560	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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