MEDICARE: COLETHA RILEY CNS

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
1	364S00000X	Clinical Nurse Specialist	RN039432	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN039432	OTHER	LA	STATE LICENSE

General Provider Information

NPI Number	:	1659593853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLETHA RILEY CNS

Provider Business Mailing Address
First Line	:	1541 TULANE AVE
Second Line	:	RM 505
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2821
Country	:	US
Telephone Number	:	504-903-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1541 TULANE AVE
Second Line	:	RM 505
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2821
Country	:	US
Telephone Number	:	504-903-5163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1497737704 — MRS. JANE ANN ARCARIO CRNA
Practice Location Address:

1541 TULANE AVE
NEW ORLEANS, LA
70112-2821

Practice Phone: 504-903-0283
Practice Fax:

1568478550 — BARBARA B. MAXWELL A.P.R.N.
Practice Location Address:

1545 TULANE AVE
NEW ORLEANS, LA
70112-2821

Practice Phone: 504-903-5155
Practice Fax: 504-903-5157

1902923220 — GWENDOLYN D FOXWORTH FNP
Practice Location Address:

1400 POYDRAS ST.
NEW ORLEANS, LA
70112-2821

Practice Phone: 504-903-1940
Practice Fax:

1346462769 — ELIZABETH DIMITRY NP
Practice Location Address:

1545 TULANE AVE
NEW ORLEANS, LA
70112-2821

Practice Phone: 504-903-1301
Practice Fax:

1346459567 — DEIDRA LEWIS PIERRE NP
Practice Location Address:

1541 TULANE AVE
NEW ORLEANS, LA
70112-2821

Practice Phone: 504-903-1301
Practice Fax:

Directions to “ COLETHA RILEY CNS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.