Riley, Oleda L

Riley, Oleda L is an individual health care provider with primary practice located at 317 N Hickory Ave , Cookeville TN 38501-2428. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Riley, Oleda L can be contacted via phone (931) 528-7527.

Contact Information

Primary practice address
317 N Hickory Ave Cookeville TN 38501-2428
Fax: (931) 372-8839
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000087831 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN0000006539 Tennessee

Profile Details

NPI number 1326114455
LBN Legal business name Riley, Oleda L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 27th, 2012 - about 12 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 1326114455 NPPES
Tennessee MEDICAID 3341292

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