Individual
LISA MARIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 CIRCLE FRONT DR, EVANSVILLE, IN 47715-7196
(812) 475-2079
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28153792A
IN
367500000X
Certified Registered Nurse Anesthetist
80425
TN
Other
Enumeration date
01/06/2009
Last updated
07/16/2012
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