Individual
THERESA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 N. HAVEN ST. SUITE 301, OFFICE I, BALTIMORE, MD 21224
(410) 709-2200
(401) 433-7902
Mailing address
101 N. HAVEN ST. SUITE 301, OFFICE I, BALTIMORE, MD 21224
(410) 709-2273
(401) 433-7902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R262577
MD
163WC1500X
Community Health Registered Nurse
R262577
MD
163WC1600X
Continuing Education/Staff Development Registered Nurse
R262577
MD
163WH0200X
Home Health Registered Nurse
R262577
MD
163WW0000X
Wound Care Registered Nurse
R262577
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R262577
REGISTERED NURSE
—
Enumeration date
12/07/2024
Last updated
12/07/2024
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