MS. PENELOPE REILLY MSN CS NPI 1710021829

NPI Information

NPI: 1710021829
Provider Name: MS. PENELOPE REILLY, MSN CS
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
222 ST JOHN STREET SUITE 102
PORTLAND, ME
ZIP 04102
Phone: (207) 874-0341
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MS. Penelope Reilly, MSN CS is a psychiatric/mental health and child and adolescent clinical nurse specialist in Portland, ME. MS. Penelope Reilly, MSN CS NPI is 1710021829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

222 ST JOHN STREET SUITE 102
PORTLAND, ME
ZIP 04102
Phone: (207) 874-0341

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	R025391	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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