Whalio Doctors

NPI 1003205238

Michael J McReynolds, CRNA

Practitioner Certified Registered Nurse Anesthetist Vicksburg, MS

Practice location

Address
2100 Highway 61 N, Vicksburg, MS 39183-8211
Phone
(601) 831-1146
Mailing address
127 Britton Cir, Flowood, MS 39232-8110

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R880370 (MS)

Registry record

NPI
1003205238
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jan 2015
Record last updated
12 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.