| NPI | 1881361624 |
|---|---|
| Former Name | STEPHANIE LYN RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997909-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041356405) |
| 163W00000X Registered Nurse (Licence: IL 041.356405) | |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2022-12-14 |