Individual
ANNA LEE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
428 DRAHT HILL RD, ELMIRA, NY 14901-9404
(607) 734-2638
Mailing address
428 DRAHT HILL RD, ELMIRA, NY 14901-9404
(607) 734-2638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
233808-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01548416
—
NY
Enumeration date
07/30/2007
Last updated
07/30/2007
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