Individual provider · Type 1 NPI

Elizabeth Jane Riley

Pediatric Nurse Practitioner · College Station, TX

NPI number 1104392505 Active

Practice location

1602 Rock Prairie Rd
College Station, TX 77845-8306

Mailing address

1505 E 31st St
Bryan, TX 77802-1421

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X243062 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104392505

Elizabeth Jane Riley's National Provider Identifier is 1104392505, issued on Oct 23, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in College Station, TX. The record was last updated on Oct 23, 2018.