Healthcare Provider Details

I. General information

NPI: 1871420232
Provider Name (Legal Business Name): RILEY PRIEST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 ELKINS ST
FAIRMONT WV
26554-4021
US

IV. Provider business mailing address

366A STEWART ST
MORGANTOWN WV
26505-4835
US

V. Phone/Fax

Practice location:
  • Phone: 681-404-3777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: