Individual
ANDREA L RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Mailing address
916 WEINLAND DR, NEW CARLISLE, OH 45344-2649
(937) 470-9443
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
136364-M-IV
OH
Other
Enumeration date
06/29/2016
Last updated
05/12/2026
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