Reynolds, Pamela

Reynolds, Pamela is an individual health care provider with primary practice located at 2212 Wilborn Ave , South Boston VA 24592-1630. 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, Pamela can be contacted via phone (434) 572-8921.

Contact Information

Primary practice address

2212 Wilborn Ave South Boston VA 24592-1630

Phone: (434) 572-8921

Fax: (434) 572-2063

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner	363L00000X	024164721	Virginia

Profile Details

NPI number	1932178019
LBN Legal business name	Reynolds, Pamela
Credentials	FNPC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 14th, 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1932178019	NPPES
Virginia	MEDICAID	007791992
Virginia	Other	35419N

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