Syvilla Graton Reynolds, PA
Physician Assistant, Surgical in Sparks, NV. Individual provider (NPI-1).
NPI number1407438005
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1407438005
- Entity type
- Individual (NPI-1)
- Name
- Syvilla Graton Reynolds
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2021
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA2772 | NV | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA61157812 | WA |
Practice location
2385 E Prater Way Ste 205Sparks, NV 89434-9688
Phone 775-356-4888 · Fax 775-356-4890
Mailing address
2385 E Prater Way Ste 205Sparks, NV 89434-9688
Phone 775-356-4888 · Fax 775-356-4890
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