Individual
MS. CHARLENE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1141 PEAR TREE LN, STE 100, NAPA, CA 94558-6484
(707) 254-1770
(707) 251-2995
Mailing address
1141 PEAR TREE LN, STE 100, NAPA, CA 94558-6484
(707) 254-1770
(707) 251-2995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
258172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP8502
TERM NP
—
Enumeration date
06/21/2006
Last updated
12/01/2011
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