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Susan Jean Reynolds, RN,CPNP
Pediatric Nurse Practitioner in Garden Grove, California
NPI 1154459287

Susan Jean Reynolds is a Pediatric Nurse Practitioner based in Huntington Beach, CA and is specialized in Pediatrics. Susan Jean Reynolds practices in Garden Grove, CA and has the professional credentials of RN,CPNP. The NPI Number for Susan Jean Reynolds is 1154459287 and holds a License No. 230910 (California).

The current practice location address for Susan Jean Reynolds is 9802 Woodbury Ave, Garden Grove, CA and can be reached out via phone at 714-663-6411 and via fax at 714-663-6470.

Location: 9802 Woodbury Ave, Garden Grove, CA, 92646-5522
person
Provider Profile Details
NPI Number
1154459287
Provider Name
Susan Jean Reynolds
Credential
RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
9802 Woodbury Ave, Garden Grove, CA, 92646-5522
Phone Number
714-663-6411
Fax Number
714-663-6470
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1458726 01 CA PIN#
SS3066522 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
9802 Woodbury Ave
City
State
Zip
92844-2819
Phone Number
714-663-6411
Fax Number
714-663-6470
person
Provider Business Mailing Address Details
Address
9802 Woodbury Ave
City
State
Zip
92844-2819
Phone Number
714-663-6411
Fax Number
714-663-6470
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
230910 (California)
Definition
Definition to come...
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