# PEDIATRIC PARENTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538458310
- **Authorized official:** MS. ELISABETH A. REILLY APRN, CLC (PRESIDENT)
- **Authorized official phone:** (203) 415-2238

## Contact information

- **Practice address:** 435 AMITY RD, BETHANY, CT 06524-3038
- **Practice address phone:** (203) 415-2238
- **Mailing address:** 435 AMITY RD, BETHANY, CT 06524-3038
- **Mailing address phone:** (203) 415-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 000590 | CT | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011