Provider Demographics
NPI:1467216218
Name:ROBERTS, RILEY ANN (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RILEY
Middle Name:ANN
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11797 SOUTH FWY STE 246
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7035
Mailing Address - Country:US
Mailing Address - Phone:817-615-8627
Mailing Address - Fax:
Practice Address - Street 1:11797 SOUTH FWY STE 246
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7035
Practice Address - Country:US
Practice Address - Phone:817-615-8627
Practice Address - Fax:817-615-8574
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1152756363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care