Reilly, Amanda Jane

Reilly, Amanda Jane is an individual health care provider with primary practice located at 57 Sachemus Trl , Brewster MA 02631-2080. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Reilly, Amanda Jane can be contacted via phone (413) 210-5352.

Contact Information

Primary practice address
57 Sachemus Trl Brewster MA 02631-2080
Phone: (413) 210-5352
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN2265481 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN #004703 Connecticut
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN2265481 Massachusetts

Profile Details

NPI number 1417231895
LBN Legal business name Reilly, Amanda Jane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2011
Last updated Apr 13th, 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 1417231895 NPPES
Connecticut MEDICAID 1417231895

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