| NPI | 1972054211 |
|---|---|
| Former Name | CLAIRE GERE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5009063) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5009063) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 229606) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5009063) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-03-29 |