Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 28190859A | IN |
NPI | 1497118186 |
---|---|
Provider Name | Riley Day |
First Address | Indianapolis, IN 46205-4125 |
Second Address | Indianapolis, IN 46205-2930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 31/03/2016 |