Individual
CALLIE SHAREE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
323 N BONNIE BRAE ST, DENTON, TX 76201-3727
(940) 484-7100
(940) 484-7101
Mailing address
1300 DONLEY DR, EULESS, TX 76039-2612
(325) 280-5518
(940) 591-7802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0996888-NP
CO
363L00000X
Nurse Practitioner
RXN.0105913-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
AP142198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000198496
—
CO
Enumeration date
07/23/2019
Last updated
11/18/2021
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