Diane Marion Reynolds in Bangor - Physician Assistant
Diane Marion Reynolds - NPI 1811041437
Diane Marion Reynolds is a Physician Assistant in Bangor, Maine. Diane Marion Reynolds practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Diane Marion Reynolds is 1811041437. The last update date is 2021-09-17.
Diane Marion Reynolds's current location address is 417 State Street, Bangor, Maine. You can contact this provider via phone number 2079739351 and fax number 2079739358. The mailing address for Diane Marion Reynolds is 417 State Street, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Marion Reynolds |
|---|---|
| Address | 417 State Street, Bangor, Maine |
| Phone Number | 2079739351 |
| Fax Number | 2079739358 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811041437 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2021-09-17 |
Provider Mailing Address Detail
| Address | 417 State Street |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44011000 |
| Phone Number | 2079739351 |
| Fax Number | 2079739358 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA587 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Diane Marion Reynolds's 1811041437?
The Diane Marion Reynolds's NPI (National Provider Identifier) Number is 1811041437. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Diane Marion Reynolds is located?
The Diane Marion Reynolds is situated at the following address: 417 State Street, Bangor, ME, 44011000.
What is Diane Marion Reynolds's area of expertise and its corresponding taxonomy classification?
The Diane Marion Reynolds's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811041437 to Diane Marion Reynolds?
The Centers for Medicare & Medicaid Services originally issued the 1811041437 to Diane Marion Reynolds on 2007-01-22.
When was the information pertaining to Diane Marion Reynolds most recently updated or revised?
The details related to Diane Marion Reynolds, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-17.