O'Reilly, Maureen Alice

O'Reilly, Maureen Alice is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. O'Reilly, Maureen Alice can be contacted via phone (262) 948-7000.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142
Phone: (262) 948-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2290-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 2290 Wisconsin

Profile Details

NPI number 1902071186
LBN Legal business name O'Reilly, Maureen Alice
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated May 16th, 2018 - about 6 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 1902071186 NPPES
Wisconsin MEDICAID 1902071186

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