Individual
DEVEN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1539 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 882-4343
Mailing address
1032 GREELEY DR, GALLOWAY, OH 43119-8594
(937) 763-2357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021036374
OH
Other
Enumeration date
08/10/2021
Last updated
08/10/2024
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