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Individual

MS. ALISON KATHLEEN RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C, ATC, CHPT,

Contact information

Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
1290 SILAS DEANE HWY FL 1, WETHERSFIELD, CT 06109-4337
(860) 972-6970

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5473
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005473
CT LIC
CT
Enumeration date
08/26/2013
Last updated
10/01/2020
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