Individual
MS. RIAN LIVISAY TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5999 HARPERS FARM RD STE W250, COLUMBIA, MD 21044-3017
(410) 772-8822
(410) 772-9274
Mailing address
14874 MERIWETHER DR, GLENELG, MD 21737-9626
(410) 258-1591
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN1036512
DC
363LF0000X
Family Nurse Practitioner
Primary
R207685
MD
Other
Enumeration date
05/07/2007
Last updated
01/22/2025
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