| NPI | 1801375779 |
|---|---|
| Former Name | MEREDYTH TATE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11007268) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3012596) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-07-24 |