Individual
DEBRA L RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
83 WELLNESS WAY, BENTON, KY 42025-7156
(270) 527-0045
(270) 527-0075
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3001880
KY
363LP0200X
Pediatric Nurse Practitioner
3001880
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001815
—
KY
Enumeration date
08/05/2008
Last updated
02/15/2016
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