Riley, Tracy A.

Riley, Tracy A. is an sole proprietor health care provider with primary practice located at 2270 Mohler Dr Nw , North Canton OH 44720-5736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Riley, Tracy A. can be contacted via phone (330) 904-3506.

Contact Information

Primary practice address
2270 Mohler Dr Nw North Canton OH 44720-5736
Phone: (330) 904-3506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 02762-NS Ohio

Profile Details

NPI number 1083087852
LBN Legal business name Riley, Tracy A.
Credentials PHD, RN, CNS, CNE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Nov 3rd, 2015 - about 9 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 1083087852 NPPES
Ohio Other NLN 481258 PRIVATE INSURANCE
Ohio Other RN-186297 PRIVATE INSURANCE
Ohio Other 02762-NS PRIVATE INSURANCE

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