Healthcare Provider Details

I. General information

NPI: 1326975673
Provider Name (Legal Business Name): RILEY H IVES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06102-8000
US

IV. Provider business mailing address

80 SEYMOUR ST
HARTFORD CT
06102-8000
US

V. Phone/Fax

Practice location:
  • Phone: 860-716-5348
  • Fax: 860-545-5445
Mailing address:
  • Phone: 860-716-5348
  • Fax: 860-545-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number17924
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: