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CORLISS REYNOLDS APRN
NPI 1639576978
Nurse Practitioner - Family in Salt Lake City, UT

Active since December 02, 2014
215 S STATE ST, SUITE 110, SALT LAKE CITY, UT 84111(801) 441-1002 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Corliss Reynolds Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORLISS REYNOLDS APRN (NPI 1639576978) is an individual family provider in Salt Lake City, Utah, licensed in Utah (4775745-4405) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1639576978
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORLISS REYNOLDSCredential: APRN
Location Address215 S STATE ST, SUITE 110Salt Lake City, UT 84111-2319
Mailing Address3072 W Sweet Blossom DrSouth Jordan, UT 84095-3208
Phone(801) 441-1002
Sole ProprietorNo
Enumeration DateDecember 2, 2014
✔ NPI 1639576978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 4775745-4405
215 S STATE ST, Salt Lake City, UT 84111
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MCKELL WILLIAMS LOWE P.A.
Physician Assistant
215 S STATE ST, SUITE 110
SALT LAKE CITY, UT 84111
Salt Lake County (801) 441-1002
ELDER CARE, LLC
Assisted Living Facility
215 S STATE ST, SUITE 1200
SALT LAKE CITY, UT 84111
Salt Lake County (801) 323-2214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corliss Reynolds's NPI number?

The NPI number for Corliss Reynolds is 1639576978. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Corliss Reynolds located?

Corliss Reynolds practices at 215 S State St Suite 110, Salt Lake City, UT 84111. The listed phone number is (801) 441-1002.

What is Corliss Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Corliss Reynolds was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.