Individual
RIYA THENAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N., F.N.P.
Contact information
Practice address
2001 INWOOD RD BLDG 3, DALLAS, TX 75390-7202
(214) 645-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 645-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129053
TX
363LF0000X
Family Nurse Practitioner
AP129053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
787522
NURSING LICENSE
TX
01
—
AP129053
ADVANCED PRACTICE REGISTERED NURSE LICENSE
TX
Enumeration date
10/07/2015
Last updated
08/22/2021
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