Riley, Colleen Elizabeth

Riley, Colleen Elizabeth is an individual health care provider with primary practice located at 1600 Haddon Ave , Camden NJ 08103-3101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Riley, Colleen Elizabeth can be contacted via phone (856) 757-3500.

Contact Information

Primary practice address
1600 Haddon Ave Camden NJ 08103-3101
Phone: (856) 757-3500
Fax: (856) 365-4088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010473 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X LK-0000193 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 25ME00070501 New Jersey

Profile Details

NPI number 1598277170
LBN Legal business name Riley, Colleen Elizabeth
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Oct 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598277170 NPPES
Pennsylvania MEDICAID 0017702130001

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