Doctor Name: | NORA M O'REILLY |
NPI Number: | 1104292333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 3635-23 |
Business Practice Address: | 7974 Uw Health Ct Middleton, WI - 535625531 |
Business Phone Number: | 6088295485 |
Business Fax Number: | 6088330999 |
Mailing Address: | 600 Highland Ave, MADISON |
State: | WI |
Postal Code: | 537920001 |
Phone Number: | 6082637502 |
Fax Number: | 6082659695 |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 3635-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |