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Search › Indiana › Pediatric Nurse Practitioner

Glorious Wilson-Reynolds, CPNP

NPI 1376898320 · on the registry since 2012

Practice

Address
1509 State St
La Porte, IN 46350
Phone
(219) 324-3431
Fax
(219) 362-3802
Organisation at this address
Healthlinc, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Also registered as
Pediatric Nurse Practitioner
Licence states on file
IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana