Individual provider · Type 1 NPI

Samantha R. Reilly, NP

Nurse Practitioner · Portland, ME

NPI number 1043965924 Active

Practice location

84 Marginal Way Ste 800
Portland, ME 04101-2475

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Other practice locations

  • 100 Foden Rd East, Ste 203, South Portland, ME 04106 · (207) 874-1489

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP202220 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043965924

Samantha R. Reilly, NP's National Provider Identifier is 1043965924, issued on Feb 18, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, ME. The record was last updated on Mar 4, 2026.