Individual provider · Type 1 NPI
Carol Declue Riley, C.R.N.P.
Nurse Practitioner · Lutherville, MD
Practice location
10755 Falls Rd
Lutherville, MD 21093-4515
Mailing address
PO Box 64474
Baltimore, MD 21264-4474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R095449 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1467494369
Carol Declue Riley, C.R.N.P.'s National Provider Identifier is 1467494369, issued on Jun 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lutherville, MD. The record was last updated on Jul 13, 2026.