Tamara J Reynolds in Fort Wayne - Psychiatric/mental Health

Tamara J Reynolds - NPI 1336237320

Tamara J Reynolds is a Psychiatric/mental Health in Fort Wayne, Indiana. Tamara J Reynolds practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Tamara J Reynolds is 1336237320. The last update date is 2014-07-16.

Tamara J Reynolds's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700. The mailing address for Tamara J Reynolds is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Tamara J Reynolds
Address 909 E State Blvd, Fort Wayne, Indiana
Phone Number 2604812700
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1336237320
Provider Enumeration Date 2006-10-11
Last Updated Date 2014-07-16

Provider Mailing Address Detail

Address 909 E State Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468053404
Phone Number 2604812700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 71000376A
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M900020621 IN MEDICARE PTAN
200196310 IN --

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FAQs about Tamara J Reynolds

What is the unique identification code assigned to Tamara J Reynolds by the Centers for Medicare & Medicaid Services?

The Tamara J Reynolds has been issued the NPI (National Provider Identifier) 1336237320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Tamara J Reynolds's physical address?

The Tamara J Reynolds is physically located at 909 E State Blvd, in the city of Fort Wayne, IN, with the postal code 468053404.

What is Tamara J Reynolds's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tamara J Reynolds is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.

When did the Tamara J Reynolds receive its 1336237320?

The Tamara J Reynolds was issued its 1336237320 on 2006-10-11, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Tamara J Reynolds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tamara J Reynolds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-16.

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