Glorious Latric Wilson-reynolds
CPNP | Nurse Practitioner - Pediatrics
1509 State St, La Porte
Indiana, 46350-3115
219-324-3431
Glorious Latric Wilson-reynolds is a La Porte, Indiana based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Glorious Latric Wilson-reynolds is 71005286A for Pediatrics in Indiana. Her current practice location is 1509 State St, La Porte. Patients can reach her at 219-324-3431 or can fax her at 219-362-3802. Glorious Latric Wilson-reynolds is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1376898320.
Glorious Latric Wilson-reynolds specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Glorious Latric Wilson-reynolds speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Glorious Latric Wilson-reynolds |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | 1509 State St, La Porte,
Indiana, 46350-3115 |
| Phone: | 219-324-3431 |
| Fax: | 219-362-3802 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376898320 |
| NPI Enumeration Date: | 16 Jul, 2012 |
| NPI Last Update On: | 28 Sep, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glorious Latric Wilson-reynolds are as mentioned below.
| License Number | Specialization | State | Status | |
| 71005286A | Pediatrics | Indiana | Primary | |
| 209008737 | Pediatrics | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Glorious Latric Wilson-reynolds
2022 Kelle Dr,
Chesterton, Indiana |
| Zip: | 46304-8708 |
| Phone Number: | 219-326-2312 |
| Fax Number: | 219-326-2584 |
Patients can reach Glorious Latric Wilson-reynolds at
1509 State St, La Porte, Indiana or can
call to book an appointment on 219-324-3431.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.