Reynolds, Heather

Reynolds, Heather is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Reynolds, Heather can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5177 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71004931A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 71004931A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004931A Indiana

Profile Details

NPI number 1497168140
LBN Legal business name Reynolds, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Feb 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497168140 NPPES
Indiana MEDICAID 201337320

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