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Individual

DENISE RILEY

Active
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Individual

DENISE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003448
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
003448
CT
363LA2200X
Adult Health Nurse Practitioner
0991579
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004263505
CT
Enumeration date
08/23/2006
Last updated
08/03/2020
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