Individual provider · Type 1 NPI
Laketa D. Riley, APRN
Psychiatric/Mental Health Nurse Practitioner · Columbia, SC
NPI number
1003208729
Active
Practice location
111 Doctor Cir
Columbia, SC 29203-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN288707 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 19326 (SC) |
| Family Nurse Practitioner | 363LF0000X | 19326 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003208729
Laketa D. Riley, APRN's National Provider Identifier is 1003208729, issued on Mar 4, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, SC. The record was last updated on Oct 29, 2025.