Reilly, Maureen

Reilly, Maureen is an sole proprietor health care provider with primary practice located at 747 Aquidneck Ave , Middletown RI 02842-7265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Reilly, Maureen can be contacted via phone (401) 619-4106.

Contact Information

Primary practice address
747 Aquidneck Ave Middletown RI 02842-7265
Phone: (401) 619-4106
Fax: (401) 293-0936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NPP37165 Rhode Island

Profile Details

NPI number 1982657789
LBN Legal business name Reilly, Maureen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jan 2nd, 2014 - about 10 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 1982657789 NPPES
Rhode Island MEDICAID MR49501

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