MEDICARE: CHRISTIANE RIELLA PA

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	363A00000X	Physician Assistant	FLPA2631	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821049024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIANE RIELLA PA

Provider Business Mailing Address
First Line	:	2659 PROFESSIONAL CIRCLE
Second Line	:	SUITE 115
City	:	NAPLES
State	:	FL
Zip	:	34119-8092
Country	:	US
Telephone Number	:	239-596-0100
Fax Number	:	239-596-6737

Provider Business Practice Location Address
First Line	:	2659 PROFESSIONAL CIRCLE
Second Line	:	SUITE 115
City	:	NAPLES
State	:	FL
Zip	:	34119-8092
Country	:	US
Telephone Number	:	239-596-0100
Fax Number	:	239-596-6737

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	05/05/2008

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Directions to “ CHRISTIANE RIELLA PA” Practice Location

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