Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE RENEE REILLO, RN, NP, PHD

Active Sole Proprietor

DR. MICHELLE RENEE REILLO, RN, NP, PHD is a Critical Care Nurse healthcare provider located in ST. AUGUSTINE, Florida. NPI 1275846420 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse · ST. AUGUSTINE, FL

Registration Details

NPI Number: 1275846420
Provider Type: Individual
Gender: Female
NPI Issued: Jul 16, 2010 (16.117586872947 yrs)
Last Updated: Jan 7, 2011
Licenses: R080304 (MD)

RN 9303002 (FL)
Sole Proprietor: Yes

Practice Information

Address: 129 SEAGROVE MAIN STREET

202

ST. AUGUSTINE, FL, 32080
Browse FL providers · Browse ZIP 32080
Phone: 8042964094
Fax: 9042170153
Primary Specialty: Critical Care Nurse
163WC0200X
Additional Specialty: Ambulatory Surgical Center

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.