Provider Demographics
NPI:1215298013
Name:MCREYNOLDS, KATHARINE M (MSC, MSN, ANP-BC)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:M
Last Name:MCREYNOLDS
Suffix:
Gender:F
Credentials:MSC, MSN, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1500 21ST AVE S STE 2500
Mailing Address - Street 2:VILLAGE AT VANDERBILT
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3157
Mailing Address - Country:US
Mailing Address - Phone:615-322-9129
Mailing Address - Fax:
Practice Address - Street 1:1500 21ST AVE S STE 2500
Practice Address - Street 2:VILLAGE AT VANDERBILT
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3157
Practice Address - Country:US
Practice Address - Phone:615-322-9129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16689363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health