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NPI Code Detail

MEDICARE: KELLI SUZANNE RISER CNP

MEDICARE: KELLI SUZANNE RISER CNP
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
1163W00000XRegistered NurseRN.287692-COA1OH
2363LF0000XFamily Nurse PractitionerCOA.11248-NPOH

Other Identifiers

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

General Provider Information

NPI Number : 1891091062
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI SUZANNE RISER CNP
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4335 ALUM CREEK DR STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-4520
Country : US
Telephone Number : 614-788-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2011
Last Update Date : 02/23/2026

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Directions to “ KELLI SUZANNE RISER CNP” Practice Location

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