Provider Demographics
NPI:1194133876
Name:REYNOLDS, CLAIRE LOUISE (RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:LOUISE
Last Name:REYNOLDS
Suffix:
Gender:
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:LOUISE
Other - Last Name:DEHAAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:CUT BANK
Mailing Address - State:MT
Mailing Address - Zip Code:59427-3213
Mailing Address - Country:US
Mailing Address - Phone:406-845-5566
Mailing Address - Fax:
Practice Address - Street 1:226 9TH AVE SE
Practice Address - Street 2:
Practice Address - City:CUT BANK
Practice Address - State:MT
Practice Address - Zip Code:59427-3332
Practice Address - Country:US
Practice Address - Phone:406-873-5507
Practice Address - Fax:406-873-3133
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-75551163W00000X
MTNUR-APRN-LIC-100474363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse