# ANGELA K RILEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649273525
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002496 | KY | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 09/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0087978 | — | OH |
| 01 | — | 500008873 | PALMETTO GBA-RAILROAD MEDICARE | — |
| 05 | — | 78024965 | — | KY |