Provider Demographics
NPI:1932394392
Name:REYNES, RESVELYN FALLEJO (RN)
Entity Type:Individual
Prefix:
First Name:RESVELYN
Middle Name:FALLEJO
Last Name:REYNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6417
Mailing Address - Country:US
Mailing Address - Phone:908-687-4001
Mailing Address - Fax:
Practice Address - Street 1:820 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6417
Practice Address - Country:US
Practice Address - Phone:908-687-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO07094800163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine