Individual
AMANDA JANE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2265481
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN2265481
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN #004703
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417231895
—
CT
Enumeration date
10/04/2011
Last updated
04/13/2022
Update your record
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