Provider Demographics
NPI:1740558402
Name:RILEY, ERIN J (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:J
Last Name:RILEY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:VA BOSTON HEALTHCARE SYSTEM
Mailing Address - Street 2:940 BELMONT STREET
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:800-865-3384
Mailing Address - Fax:774-826-3157
Practice Address - Street 1:VA BOSTON HEALTHCARE SYSTEM
Practice Address - Street 2:940 BELMONT ST
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:800-865-3384
Practice Address - Fax:774-826-3157
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2018-06-28
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Provider Licenses
StateLicense IDTaxonomies
MA279987363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health