Individual
LISA MARIE RILEY
Active
Individual
LISA MARIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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