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Individual

PATRICIA ANN RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81378
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432017899
ME
01
CNP81378
APRN LICENSE
ME
01
R021917
RN LICENSE
ME
01
UX9404
MEDICARE NUMBER
ME
Enumeration date
09/29/2005
Last updated
03/27/2013
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