# SEAN MICHAEL REILLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386950418
- **Gender:** Man
- **Credential:** RNC,NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 5009794 | NC | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | COA07506NP | OH | — |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 03/30/2021