Individual
MAUREEN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
747 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7265
(401) 619-4106
(401) 293-0936
Mailing address
747 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7265
(401) 619-4106
(401) 293-0936
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NPP37165
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MR49501
—
RI
Enumeration date
05/19/2006
Last updated
01/02/2014
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