Reilly, Elisabeth A

Reilly, Elisabeth A is an individual health care provider with primary practice located at 374 Grand Ave , New Haven CT 06513-3733. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Reilly, Elisabeth A can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave New Haven CT 06513-3733
Phone: (203) 777-7411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X E46044 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 000590 Connecticut

Profile Details

NPI number 1962505453
LBN Legal business name Reilly, Elisabeth A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 23rd, 2013 - about 12 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 1962505453 NPPES
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