Provider Demographics
NPI:1194242859
Name:NELSON & REYNOLDS, PLLC
Entity type:Organization
Organization Name:NELSON & REYNOLDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KNAPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-886-2500
Mailing Address - Street 1:210 VALLEY MALL PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-7728
Mailing Address - Country:US
Mailing Address - Phone:509-886-2500
Mailing Address - Fax:509-886-3600
Practice Address - Street 1:210 VALLEY MALL PKWY
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-7728
Practice Address - Country:US
Practice Address - Phone:509-886-2500
Practice Address - Fax:509-886-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental