Provider Demographics
NPI:1235353517
Name:RILEY, AISHA RACHELLE (APRN, BC)
Entity Type:Individual
Prefix:MISS
First Name:AISHA
Middle Name:RACHELLE
Last Name:RILEY
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 3RD PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2104
Mailing Address - Country:US
Mailing Address - Phone:202-785-1836
Mailing Address - Fax:202-722-0169
Practice Address - Street 1:2001 MASSACHUSETTS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1011
Practice Address - Country:US
Practice Address - Phone:202-785-1836
Practice Address - Fax:202-722-0169
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1010245363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily