Individual
PATRICK MICHAEL RIELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
603 BRIARWOOD LN, SMYRNA, TN 37167-5090
(615) 738-6948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000201236
TN
163WN0800X
Neuroscience Registered Nurse
0000201236
TN
363L00000X
Nurse Practitioner
Primary
RN2372310
MA
363LA2100X
Acute Care Nurse Practitioner
RN2372310
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2021
Last updated
02/02/2023
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