DR. MICHELLE RENEE REILLO RN, NP, PHD
NPI 1275846420
Registered Nurse - Critical Care Medicine in St. Augustine, FL
Active since July 16, 2010
129 SEAGROVE MAIN STREET, 202, ST. AUGUSTINE, FL 32080(804) 296-4094(904) 217-0153 Get Directions Write a Review
About Dr. Michelle Renee Reillo Rn, Np, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHELLE RENEE REILLO RN, NP, PHD (NPI 1275846420) is an individual critical care medicine provider in St. Augustine, Florida, licensed in Maryland (R080304) and active in the NPI registry since July 2010.
NPPES Registry Identity
NPI1275846420
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameDR. MICHELLE RENEE REILLOCredential: RN, NP, PHD
Location Address129 SEAGROVE MAIN STREET, 202St. Augustine, FL 32080
Mailing Address129 Seagrove Main Street, Unit 202St. Augustine, FL 32080 · (804) 296-4094 · Fax (904) 217-0153
Phone(804) 296-4094
Fax(904) 217-0153
Sole ProprietorYes
Enumeration DateJuly 16, 2010
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1275846420 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in MD · R080304
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License RN 9303002 (FL)
129 SEAGROVE MAIN STREET, St. Augustine, FL 32080
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Clinic/Center (Multi-Specialty)
129 SEAGROVE MAIN STREET, UNIT 202
ST. AUGUSTINE, FL 32080
ST. AUGUSTINE, FL 32080
Clinic/Center (Primary Care)
129 SEAGROVE MAIN STREET, 202
SAINT AUGUSTINE, FL 32080
SAINT AUGUSTINE, FL 32080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275846420, enumerated as an "individual" on July 16, 2010.
The provider is located at 129 SEAGROVE MAIN STREET 202 ST. AUGUSTINE, FL 32080 and the phone number is (804) 296-4094.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.
