Individual
NICOLE RILLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 GAMBLE RD, MORGANTOWN, WV 26501-2140
(760) 221-5904
Mailing address
57 GAMBLE RD, MORGANTOWN, WV 26501-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117176
WV
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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