Individual provider · Type 1 NPI

Riley Carlton Wade Grogan

Nurse Practitioner · Caraway, AR

NPI number 1477437283 Active

Practice location

104 W State St
Caraway, AR 72419-8553

Mailing address

4196 Highway 62 412 Ste A
Hardy, AR 72542-8002

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X232785 (AR)

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…

5 other providers at this address

About NPI 1477437283

Riley Carlton Wade Grogan's National Provider Identifier is 1477437283, issued on Aug 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Caraway, AR. The record was last updated on Aug 4, 2025.