Dr TAMARA J REYNOLDS is a female medical professional, specializing in Nurse Practitioner. She graduated in 1995.
PARK CENTER INC
909 E STATE BLVD
FORT WAYNE
IN
468053458
Tel: 2604812718
| Npi | 1336237320 |
| Pac Id | 2365576105 |
| Professional Enrollment Id | I20100817000096 |
| Last Name | REYNOLDS |
| First Name | TAMARA |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PARK CENTER INC |
| Group Practice Pac Id | 5991794794 |
| Number Of Group Practice Members | 39 |
| Line 1 Street Address | 909 E STATE BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 468053458 |
| Phone Number | 2604812718 |
| Hospital Affiliation Ccn 1 | 151330 |
| Hospital Affiliation Lbn 1 | ADAMS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 150075 |
| Hospital Affiliation Lbn 2 | BLUFFTON REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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