Individual provider · Type 1 NPI

Mary Riley

Pediatric Nurse Practitioner · Roanoke, VA

NPI number 1649722562 Active

Practice location

4348 Electric Rd
Roanoke, VA 24018-0720

Fax (540) 857-5386

Mailing address

1030 S Jefferson St Ste 201
Roanoke, VA 24016-4418

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XR218970 (MD)
Pediatric Nurse Practitioner Primary 363LP0200X0024175894 (VA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1649722562

Mary Riley's National Provider Identifier is 1649722562, issued on Oct 26, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Roanoke, VA. The record was last updated on Nov 5, 2021.