Elizabeth J. Riley, CNP
Individual provider Active NPI Family Nurse Practitioner · Bolton, MA
NPI 1891024675 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1891024675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN262315 (MA)
- Practice address
- 1092 Main St Unit 2
Bolton, MA 01740-1265 - Phone
- (978) 868-8114
- Fax
- (774) 374-8032
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN263315 | MA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN263315 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN262315 | MA | Yes |
Addresses
Primary practice location
1092 Main St Unit 2
Bolton, MA 01740-1265
Mailing address
58 Laurel LN
Lunenburg, MA 01462-2028
Phone (978) 833-0507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110117903A | Medicaid | MA |
Other providers in Bolton, MA
- Stella Panneton
- Caleigh Perkins
- Gloria E. Pierce
- Cecilia Provvedini
- Alexandra Dingman Richardson
- John Robinson
- Kathryn Romeo
- Kathyn Ruberti
- Michael Schlewet
- Rebecca Gabrielle Schlosberg
All providers in Bolton, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. 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.