Doctor Name: | LINDSAY REYNOLDS |
NPI Number: | 1013399088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | CNP151026 |
Business Practice Address: | 74 Access Hwy Caribou, ME - 047363807 |
Business Phone Number: | 2074982356 |
Business Fax Number: | 2074926260 |
Mailing Address: | Po Box 40, CARIBOU |
State: | ME |
Postal Code: | 047360040 |
Phone Number: | 2074982356 |
Fax Number: | 2074986260 |
NPI Enumeration Date: | 06/25/2015 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP151026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |