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Individual
BETH M REILEY
Active
Individual
BETH M REILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP012751
PA
363LF0000X
Family Nurse Practitioner
SP012751
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014862
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619997
GATEWAY MEDICARE ASSURED
PA
01
—
2896224
HIGHMARK BLUE SHIELD-FREEDOM BLUE
PA
01
—
PO1831911
RAILROAD MEDICARE
PA
Enumeration date
03/04/2013
Last updated
05/21/2025
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