Doctor Name: | RACHEL A RILEY |
NPI Number: | 1053482562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 264484 |
Business Practice Address: | 480 Maple St Beverly Hospital At Danvers, Lmi Danvers, MA - 019234065 |
Business Phone Number: | 9783048400 |
Business Fax Number: | |
Mailing Address: | 480 Maple St, Beverly Hospital At Danvers, Lmi DANVERS |
State: | MA |
Postal Code: | 019234065 |
Phone Number: | 9783048400 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 12/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 264484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |