IndividualActive
Gretchen Reynolds
NPI 1952029167 · Medical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1952029167
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
716 Stevens Ave
Portland, ME 04103-2656
Phone: (207) 283-0171
Approximate (ZIP-level) locationGet directions
Mailing address
716 Stevens Ave
Portland, ME 04103-2656
Registry dates
- Enumerated
- 2022-08-15
- Last updated
- 2022-08-15
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.