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Individual
STACEY RILEY
Active
Individual
STACEY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
778135
CA
363LF0000X
Family Nurse Practitioner
Primary
95016356
CA
Other
Enumeration date
11/18/2020
Last updated
08/04/2026
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