O'Reilly, Mary Linda L

O'Reilly, Mary Linda L is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. O'Reilly, Mary Linda L can be contacted via phone (508) 334-6053.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Phone: (508) 334-6053
Fax: (508) 334-6412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN197029 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 197029 Massachusetts

Profile Details

NPI number 1043271455
LBN Legal business name O'Reilly, Mary Linda L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043271455 NPPES
Massachusetts MEDICAID 110016491A

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