CANDICE LATRICE REYNOLDS PMHNP-BC FNP-C NPI 1457664104

NPI Information

NPI: 1457664104
Provider Name: CANDICE LATRICE REYNOLDS, PMHNP-BC, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1609 S STATE ST
DOVER, DE
ZIP 19901
Phone: (302) 257-3135
Get Directions

Candice Latrice Reynolds, PMHNP-BC, FNP-C is a family nurse practitioner in Dover, DE with 14 years of experience. Candice Latrice Reynolds, PMHNP-BC, FNP-C NPI is 1457664104. 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:

1609 S STATE ST
DOVER, DE
ZIP 19901-148
Phone: (302) 257-3135
Fax: (302) 526-2410

The NPI 1457664104 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 3/28/2024.

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	363LF0000X	Nurse Practitioner	Family	AC005517	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	APRN9486111	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN9486111	FLORIDA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AC005680	MARYLAND	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	L8-0010481	DELAWARE	No
6	363LF0000X	Nurse Practitioner	Family	LG-0000531	DELAWARE	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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