Individual
MARY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8214
Mailing address
51 N 39TH ST, WRIGHTS SAUNDER - ER, PHILADELPHIA, PA 19104-2640
(215) 662-8214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011875
PA
Other
Enumeration date
08/21/2012
Last updated
04/25/2016
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