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NPI Code Detail

MEDICARE: MRS. HEIDI RILEY ARNP

MEDICARE:  MRS. HEIDI  RILEY  ARNP
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
1363LF0000XFamily Nurse Practitioner45642KS

General Provider Information

NPI Number : 1427117522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI RILEY ARNP
Provider Business Mailing Address
First Line : 1411 W 15TH ST
Second Line : SUITE 102
City : LIBERAL
State : KS
Zip : 67901-2285
Country : US
Telephone Number : 620-624-0142
Fax Number : 620-624-2660
Provider Business Practice Location Address
First Line : 1411 W 15TH ST STE 102
Second Line :
City : LIBERAL
State : KS
Zip : 67901-2285
Country : US
Telephone Number : 620-624-0142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. HEIDI RILEY ARNP” Practice Location

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