Doctor Name: | MRS. ELIZABETH L RILEY |
NPI Number: | 1134148463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-C |
License Number: | AP2935 |
Business Practice Address: | 400 W. Camino Casa Verde Suite 100 Green Valley, AZ - 85614 |
Business Phone Number: | 5206251760 |
Business Fax Number: | 5206481394 |
Mailing Address: | 2202 N. Forbes Blvd., TUCSON |
State: | AZ |
Postal Code: | 85745 |
Phone Number: | 5206251760 |
Fax Number: | 5206481394 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP2935 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |