Individual
MS. MARY LINDA L O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6053
(508) 334-6412
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
197029
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN197029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110016491A
—
MA
Enumeration date
03/28/2006
Last updated
11/10/2022
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