Individual
MS. STACEY ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 ROUTE 9 N STE 302, WOODBRIDGE, NJ 07095-1200
(732) 634-0036
Mailing address
1000 ROUTE 9 N STE 302, WOODBRIDGE, NJ 07095-1200
(732) 634-0036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01129700
NJ
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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