Individual
KARA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC, RN, APRN
Contact information
Practice address
4466 RANCHVIEW AVE, NORTH OLMSTED, OH 44070-2744
(419) 376-2179
Mailing address
4466 RANCHVIEW AVE, NORTH OLMSTED, OH 44070-2744
(419) 376-2179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.434430
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022864
OH
Other
Enumeration date
09/07/2017
Last updated
04/15/2024
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