Risley, Amy B
Risley, Amy B is an individual health care provider with primary practice located at 4300 W Memorial Rd , Oklahoma City OK 73120-8304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Risley, Amy B can be contacted via phone (405) 632-2323.Contact Information
Primary practice address
4300 W Memorial Rd
Oklahoma City OK 73120-8304
Phone: (405) 632-2323
Fax: (405) 631-9315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1111 | Oklahoma |
Profile Details
| NPI number | 1487626826 |
|---|---|
| LBN Legal business name | Risley, Amy B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487626826 | NPPES |
| Oklahoma | MEDICAID | 200067440A | |
| Oklahoma | Other | 970025354 |
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