Active NPIIndividual provider

Amy Reynolds, CRNP

Nurse Practitioner, Occupational Health in Groton, Connecticut

NPI Number1205088903
Practice location
1 Wahoo Ave, Groton, CT 06349-2324
Fax
—
Last updated
April 14, 2021

Amy Reynolds is a Nurse Practitioner, Occupational Health based in Groton, CT. Amy Reynolds practices in Groton, CT and has the professional credentials of CRNP. The NPI Number for Amy Reynolds is 1205088903 and holds a License No. 1-055560 (AL). The current practice location address for Amy Reynolds is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-2493.

Provider Profile Details

NPI Number
1205088903
Provider Name
Amy Reynolds
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1 Wahoo Ave, Groton, CT 06349-2324
Phone Number
860-694-2493
Primary Taxonomy
Nurse Practitioner, Occupational Health · 363LX0106X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2008
Last Update Date
April 14, 2021
Certification Date
March 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wahoo Ave
Groton, CT 06349-2324
City
Groton
Zip
06349-2324
Phone Number
860-694-2493
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
Po Box 600
Groton, CT 06349-5600
City
Groton
State
CT
Zip
06349-5600
Phone Number
860-694-2570

License Information

License Number (1)
1-055560
License State (1)
AL
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
1-055560
License State (2)
AL
Taxonomy (2)
Nurse Practitioner, Occupational Health · 363LX0106X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Reynolds, CRNP?

The NPI number of Amy Reynolds, CRNP is 1205088903. It was assigned on October 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Amy Reynolds, CRNP?

Amy Reynolds, CRNP is registered under the primary taxonomy Nurse Practitioner, Occupational Health (code 363LX0106X), licensed in AL under license number 1-055560.

Where does Amy Reynolds, CRNP practice?

The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-2493 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205088903 directly on the NPPES registry website.

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