Individual
DEBRA FOX REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
431 E BROAD ST # OH, COLUMBUS, OH 43215-4004
(614) 885-5020
Mailing address
431 E BROAD ST # OH, COLUMBUS, OH 43215-4004
(614) 885-5020
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.175111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082515
—
OH
Enumeration date
02/18/2020
Last updated
02/18/2020
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