Individual provider · Type 1 NPI
Kathleen Reilly
Psychiatric/Mental Health Nurse Practitioner · Providence, RI
NPI number
1417659962
Active
Practice location
194 Waterman St
Providence, RI 02906-4015
Fax (888) 602-6957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN03630 (RI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417659962
Kathleen Reilly's National Provider Identifier is 1417659962, issued on Mar 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Providence, RI. The record was last updated on Dec 27, 2023.