Individual
DR. TRACY A. RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, CNS, CNE
Contact information
Practice address
2270 MOHLER DR NW, NORTH CANTON, OH 44720-5736
(330) 904-3506
Mailing address
2270 MOHLER DR NW, NORTH CANTON, OH 44720-5736
(330) 904-3506
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
02762-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02762-NS
PRIVATE INSURANCE
OH
01
—
NLN 481258
PRIVATE INSURANCE
OH
01
—
RN-186297
PRIVATE INSURANCE
OH
Enumeration date
11/03/2015
Last updated
11/03/2015
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