Provider Demographics
NPI:1366137499
Name:MCREYNOLDS, ZOWIE LEIGH-ANNE (CD(DONA))
Entity type:Individual
Prefix:
First Name:ZOWIE
Middle Name:LEIGH-ANNE
Last Name:MCREYNOLDS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 OAKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3611
Mailing Address - Country:US
Mailing Address - Phone:580-630-2339
Mailing Address - Fax:
Practice Address - Street 1:1403 OAKRIDGE RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-3611
Practice Address - Country:US
Practice Address - Phone:580-630-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula