Individual
MRS. STEPHANIE ANN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7 LARKSPUR DR, HIGGANUM, CT 06441-4385
(845) 518-1342
Mailing address
7 LARKSPUR DR, HIGGANUM, CT 06441-4385
(845) 518-1342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12644
CT
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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