PROF. MARILYN J. RILEY PHD NP NPI 1316928112

NPI Information

NPI: 1316928112
Provider Name: PROF. MARILYN J. RILEY, PHD, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1701 N SENATE AVE
3007
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-5097
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PROF. Marilyn J. Riley, PHD, NP is an adult health nurse practitioner in Indianapolis, IN. PROF. Marilyn J. Riley, PHD, NP NPI is 1316928112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1701 N SENATE AVE
3007
INDIANAPOLIS, IN
ZIP 46202-306
Phone: (317) 962-5097
Fax: (317) 962-5018

The NPI 1316928112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71000828A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	71000828A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200843250	MEDICAID	INDIANA
2	000001126642	OTHER	INDIANA	ANTHEM PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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