Shaneka Reynolds
Nurse Practitioner, Adult Health in Miami, FL. Individual provider (NPI-1).
NPI number1316632706
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1316632706
- Entity type
- Individual (NPI-1)
- Name
- Shaneka Reynolds
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | APRN11012659 | FL | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 11012659 | FL |
Practice location
1611 Nw 12th Ave Rm 316eMiami, FL 33136-1005
Phone 305-585-5578
Mailing address
11031 Redhawk StPlantation, FL 33324-2167
Phone 786-356-1457
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All 353 Adult Health Nurse Practitioner providers in Miami · All 71,138 providers in Miami
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