Individual
JUANITA ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3433 AGLER RD, SUITE 2800, COLUMBUS, OH 43219-3387
(614) 645-1600
(614) 645-1347
Mailing address
1800 WATERMARK DR, SUITE 420, COLUMBUS, OH 43215-1048
(614) 645-5500
(614) 458-1849
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.12031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063891
—
OH
Enumeration date
04/06/2012
Last updated
01/23/2015
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