Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYELLEN AGNES RILEY, WHNP, RN,C, MS
Active Sole ProprietorMARYELLEN AGNES RILEY, WHNP, RN,C, MS is a Women's Health Nurse Practitioner healthcare provider located in LARAMIE, Wyoming. NPI 1346481389 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · LARAMIE, WY
Registration Details
- NPI Number
- 1346481389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2009 (17.433480488175 yrs)
- Last Updated
- Jun 25, 2018
- Licenses
-
102244 (CO)41390.1753 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1252 N 22ND ST UNIT ALARAMIE, WY, 82072Browse WY providers · Browse ZIP 82072
- Phone
- 3077455364
- Fax
- 3077454164
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
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.