Individual
ELYSE O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2291385
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2291385
MA
Other
Enumeration date
07/06/2019
Last updated
05/13/2020
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