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NPI Code Detail

MEDICARE: CARLA RILEY APRN, AGPCNP-BC

MEDICARE: CARLA RILEY APRN, AGPCNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner2025037097TX

General Provider Information

NPI Number : 1326929605
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA RILEY APRN, AGPCNP-BC
Provider Business Mailing Address
First Line : 950 W BETHANY DR STE 570
Second Line :
City : ALLEN
State : TX
Zip : 75013-3845
Country : US
Telephone Number : 844-941-3087
Fax Number :
Provider Business Practice Location Address
First Line : 950 W BETHANY DR STE 570
Second Line :
City : ALLEN
State : TX
Zip : 75013-3845
Country : US
Telephone Number : 844-941-3087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2025
Last Update Date : 09/11/2025

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Directions to “ CARLA RILEY APRN, AGPCNP-BC” Practice Location

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