Individual
JUDITH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4006
Mailing address
9320 SULLIVAN LN, CROWN POINT, IN 46307-8539
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28108618A
IN
Other
Enumeration date
03/02/2007
Last updated
02/27/2008
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