Individual
PATRICIA ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
394 BAR HARBOR RD, TRENTON, ME 04605-5807
(207) 667-5899
(207) 667-0184
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-8600
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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