Individual
MADISON J RILEY-GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
920 E HIGH ST STE 102, CHARLOTTESVILLE, VA 22902-4850
(434) 290-1226
Mailing address
920 E HIGH ST STE 102, CHARLOTTESVILLE, VA 22902-4850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024191173
VA
363LF0000X
Family Nurse Practitioner
Primary
0024191173
VA
Other
Enumeration date
09/10/2024
Last updated
09/23/2024
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