Riley Queensland
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Grand Meadow, MN
NPI 1043130669 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1043130669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 514 1St Ave SE
Grand Meadow, MN 55936-1400 - Phone
- (507) 951-5244
- NPI assigned
- Jul 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
514 1St Ave SE
Grand Meadow, MN 55936-1400
Mailing address
514 1St Ave SE
Grand Meadow, MN 55936-1400
Other providers in Grand Meadow, MN
- Abigail Erickson
- Grand Meadow Healthcare Center, Inc
- Grand Meadow School District
- Teresa Marie Hanson
- Meadow Area Chiropractic LLC
All providers in Grand Meadow, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.