MARYELLEN AGNES RILEY


Address: 1252 N 22nd St Unit A, Laramie, WY 82072
Phone: 3077455364

MARYELLEN AGNES RILEY (NPI# 1346481389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346481389
Entity Type Individual
Full Name MARYELLEN AGNES RILEY
Credential WHNP, RN,C, MS
Practice Address 1252 N 22nd St Unit A
Laramie
WY 82072
Mailing Address 1252 N 22nd St Unit A
Laramie
WY 82072-5306
Practice Telephone 3077455364
Practice Fax Number 3077454164
Mailing Telephone 3077455364
Mailing Fax Number 3077454164
Enumeration Date 2009-03-22
Last Update Date 2018-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
41390.1753 WY Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
102244 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1252 N 22ND ST UNIT A
City LARAMIE
State WY
Zip Code 82072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073525150 Patricia L Jackson Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072-5306 2006-08-13
1639586209 Jennifer E. Keller Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072 2014-07-16
1376859322 Laramie Urgent Care Clinic/Center 1252 N 22nd St Unit A, Laramie, WY 82072-5306 2010-08-27
1538360391 Kate Wilhoit Schneider Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072-5306 2007-05-30
1912047564 Sherrie Dawn Rubio-wallace Nurse Practitioner 1252 N 22nd St Unit A, Laramie, WY 82072-5306 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629688924 Colby Wolf 16th & Gibbon, Department 3414, Laramie, WY 82072 2020-08-03
1871947341 Curran Quast Case Manager/Care Coordinator 1465 N 4th St Ste 111, Laramie, WY 82072 2016-04-20
1184030827 David Hokanson Dentist 352 N. 4th Street, Laramie, WY 82072 2014-07-02
1356673297 Aaron Lozano Counselor 1465 N. 4th Street #119, Laramie, WY 82072 2010-02-03
1407181092 Maureen K. Johnson Inc In Home Supportive Care 2010 Reynolds H280, Laramie, WY 82072 2009-10-15
1316120991 Nephrology Clinic PC Clinic/Center 3116 Willet Dr, Laramie, WY 82072 2007-12-06
1851410682 Laramie Reproductive Health Public Health or Welfare 1252 N 22nd St Suite A, Laramie, WY 82072 2007-03-29
1942345327 Fike Chiropractic Pain Relief Chiropractor 1267 N 15th St, Suite 123b, Laramie, WY 82072 2007-02-21
1336215441 Laramie Pediatrics Internal Medicine Internal Medicine 1252 North 22nd St, Ste B, Laramie, WY 82072 2006-11-28
1407939218 Ark Regional Services, Inc Occupational Therapist 1150 N 3rd Street, Laramie, WY 82072 2006-10-23
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1386623239 Nancy Jane Potter Nurse Practitioner 1915 Oxford Lane, Suite 101, Casper, WY 82604 2006-01-10
1104366806 Leah M Albrecht Nurse Practitioner 1304 W 4th St, Gillette, WY 82716-3330 2017-02-28
1396167508 Judy Nicksich Nurse Practitioner 333 Broadway St, Ste. 120, Rock Springs, WY 82901-6243 2014-01-08
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1467764019 Jacqueline Gale Retherford Nurse Practitioner 111 S 5th St, Douglas, WY 82633-2434 2010-07-12
1679772677 Becky Lynn Olson Nurse Practitioner 1333 W 5th St, Ste 210, Sheridan, WY 82801-2752 2007-07-11
1902850464 Ruth C Zebroski Nurse Practitioner 1460 Main St, Lander, WY 82520-2657 2006-05-20
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Competitor

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City LARAMIE
Zip Code 82072

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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