National Provider Identifier

Andrea Marie Reynolds, PNP

Andrea Marie Reynolds, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 636-5437.

NPI 1811209695Williamsville, NYPediatric Nurse Practitioner

Profile Overview

NPI
1811209695
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
July 08, 2010
Last Updated
January 29, 2026

Practice Location

  • 1800 Maple Road
  • Suite 100
  • Williamsville, NY 14221-2749

Phone: (716) 636-5437

Mailing Address

  • 1800 Maple RD Ste 100
  • Williamsville, NY 14221-2749

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
  • Nurse Practitioner (363L00000X)
  • Pediatric Critical Care Medicine Physician (2080P0203X)
  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1811209695
Entity Type
Individual
Last Name
Reynolds
First Name
Andrea
Middle Name
Marie
Name Prefix
MS.
Credential
PNP
Provider Other Last Name
Overturf
Provider Other First Name
Andrea
Provider Other Middle Name
Marie
Provider Other Last Name Type Code
5
Mailing Street Address
1800 Maple RD Ste 100
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-2749
Mailing Country
US
Mailing Phone
(716) 636-5437
Mailing Fax
(716) 276-3190
Practice Street Address
1800 Maple Road
Practice Address Line 2
Suite 100
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-2749
Practice Country
US
Practice Phone
(716) 636-5437
Practice Fax
(716) 276-3190
Enumeration Date
July 08, 2010
Last Updated
January 29, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 29, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X), Nurse Practitioner (363L00000X), Pediatric Critical Care Medicine Physician (2080P0203X), Pediatric Nurse Practitioner (363LP0200X)
Other Identifiers
023348100 (FL)