Individual provider · NPI-1
Marc D Reiss, RN
Registered Nurse, Psych/Mental Health, Adult · Lawrence, MA
NPI number1275856726
StatusActive
Last updated in NPPESMar 11, 2010
Details
- NPI
- 1275856726
- Entity type
- Individual (NPI-1)
- Name
- Marc D Reiss
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2010
- Last updated
- Mar 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 217870 | MA | Yes |
Practice location
12 Methuen StLawrence, MA 01840-1700
Phone 978-620-1770 · Fax 978-687-1627
Mailing address
12 Methuen StLawrence, MA 01840-1700
Phone 978-620-1770 · Fax 978-687-1627
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