=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881516060
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMBER RILEY RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2026
-----------------------------------------------------
Last Update Date | 07/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 144 SCHOOL LN
-----------------------------------------------------
City | FLIPPIN
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72634-7913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-405-0771
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 144 SCHOOL LN
-----------------------------------------------------
City | FLIPPIN
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72634-7913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 224029
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------