Healthcare Provider Details

I. General information

NPI: 1760345730
Provider Name (Legal Business Name): CHERYL RILEY EMT-P, CP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 BLACKSMITH RD
EFLAND NC
27243-9760
US

IV. Provider business mailing address

1211 BLACKSMITH RD
EFLAND NC
27243-9760
US

V. Phone/Fax

Practice location:
  • Phone: 919-264-2586
  • Fax:
Mailing address:
  • Phone: 919-264-2586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146E00000X
TaxonomyCommunity Paramedic
License Number1237
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP088058
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: