Individual
STACEY M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 MARSH BROOK DR STE 205, SOMERSWORTH, NH 03878-6523
(603) 742-2007
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0721
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079348
—
NH
Enumeration date
03/16/2006
Last updated
02/26/2025
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