Individual provider · Type 1 NPI

Shea Reilly

Family Nurse Practitioner · Rome, NY

NPI number 1407712128 Active

Practice location

1500 N James St
Rome, NY 13440-2844

Fax (315) 339-1975

Mailing address

245 Avery Ln
Rome, NY 13441-4237

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X358658 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1407712128

Shea Reilly's National Provider Identifier is 1407712128, issued on Dec 26, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rome, NY. The record was last updated on Mar 17, 2026.