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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDAL ANTHONY RILEY JR., LPN

Active Sole Proprietor

MR. RANDAL ANTHONY RILEY JR., LPN is a Registered Nurse healthcare provider located in BROWN DEER, Wisconsin. NPI 1124503776 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · BROWN DEER, WI

Registration Details

NPI Number
1124503776
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2018 (7.8865666584734 yrs)
Last Updated
May 7, 2020
Licenses
321568 (WI)
252849-30 (WI)
Sole Proprietor
Yes

Practice Information

Address
4363 W DEAN RD APT 164
BROWN DEER, WI, 532233100
Browse WI providers · Browse ZIP 53223
Phone
3059782335
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in BROWN DEER, WI

Name Credential NPI
MISS ELIZABETH B KALUGIRA RN 1760604474
RITA IRENE KUYPER R.N. 1730372285
CHERRY P KUNKEL RN 1699949891
GLADYS RIVERA RN 1962730366
MS. SANDRA JEAN ENDERS R.N. 1255623500
GOLD A OMEREONYE RN 1396032173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.