Individual
THALIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
707151
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA253053
ME
Other
Enumeration date
06/10/2022
Last updated
07/02/2025
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