Individual
BARBARA REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
330 S 12TH ST, SUITE 4710-MC635, MINNEAPOLIS, MN 55404-1004
(612) 348-0173
(612) 272-7961
Mailing address
330 S 12TH ST, SUITE 4710-MC635, MINNEAPOLIS, MN 55404-1004
(612) 348-0173
(612) 272-7961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R129272-3
MN
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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