IndividualActive
Penelope Reilly, MSN CS
NPI 1710021829 · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Portland, ME
Provider details
- NPI number
- 1710021829
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN CS
- Sex
- Female
- Sole proprietor
- Yes
- License
- R025391 (ME)
Practice location
222 St John Street Suite 102
Portland, ME 04102
Phone: (207) 874-0341
Mailing address
12 Harvey St
Portland, ME 04102-1736
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.