Individual
BRENDA REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
104 MILLS ST, MORRISTOWN, NJ 07960-3722
(917) 593-8728
Mailing address
104 MILLS ST, MORRISTOWN, NJ 07960-3722
(917) 593-8728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
307230
NY
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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