Reynolds, Lisa Dawn

Reynolds, Lisa Dawn is an individual health care provider with primary practice located at 410 Maple Ave West Ste 5, Vienna VA 22180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Reynolds, Lisa Dawn can be contacted via phone (703) 938-2244.

Contact Information

Primary practice address
410 Maple Ave West Ste 5 Vienna VA 22180
Phone: (703) 938-2244
Fax: (703) 938-3669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024164882 Virginia

Profile Details

NPI number 1215996277
LBN Legal business name Reynolds, Lisa Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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