Individual provider · Type 1 NPI

Penelope Reilly, MSN CS

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Portland, ME

NPI number 1710021829 Active

Practice location

222 St John Street Suite 102
Portland, ME 04102

Call (207) 874-0341 Map

Mailing address

12 Harvey St
Portland, ME 04102-1736

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary	364SP0807X	R025391 (ME)

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...

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About NPI 1710021829

Penelope Reilly, MSN CS's National Provider Identifier is 1710021829, issued on Feb 20, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.