Individual
CYNTHIA WAGERS RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1483 TOBIAS GADSON BLVD STE 201, CHARLESTON, SC 29407-4796
(843) 792-6200
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN163734
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2291
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.2291
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0100631
CO
Other
Enumeration date
08/18/2006
Last updated
01/30/2025
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