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Individual

RILEY KAE OBERHOLTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9225 N 3RD ST STE 300, PHOENIX, AZ 85020-2466
(602) 445-0751
Mailing address
9225 N 3RD ST STE 300, PHOENIX, AZ 85020-2466
(602) 445-0751
(602) 424-8128

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238479
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
238479
AZ
363LA2200X
Adult Health Nurse Practitioner
238479
AZ
363LG0600X
Gerontology Nurse Practitioner
238479
AZ

Other

Enumeration date
08/21/2023
Last updated
01/16/2026
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