Provider Demographics
NPI:1508828518
Name:REYNOLDS, BARBARA A (FNPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MEADOWMONT VILAGE CIRCLE SUITE 301
Mailing Address - Street 2:UNC HEALTHCARE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:984-974-5662
Mailing Address - Fax:984-974-2988
Practice Address - Street 1:300 MEADOWMONT VILLAGE CIRCLE
Practice Address - Street 2:UNC HEALTHCARE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6036
Practice Address - Country:US
Practice Address - Phone:984-974-5662
Practice Address - Fax:984-974-2988
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012832088P0231X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC201283OtherNC STATE PROVIDER NUMBER
P00322Medicare UPIN