Individual
MS. MIKA LYNE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(800) 777-8855
Mailing address
1809 BIRCH BAY CT, FREDERICK, MD 21702-5924
(301) 514-4373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
024176819
VA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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