Glorious Latric Wilson-Reynolds, CPNP

NPI #1376898320 in La Porte, Indiana

Provider Information

NPI Number
1376898320
Entity Type
Individual
Name
Glorious Latric Wilson-Reynolds, CPNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP
Enumeration Date
Jul 16, 2012
Last Updated
Sep 28, 2020

Practice Location

Address
1509 STATE ST
State
Indiana
ZIP Code
46350-3115
Phone
(219) 324-3431

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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