Provider Demographics
NPI:1801506613
Name:EUDY, RILEY HOWELL (FNP-C)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:HOWELL
Last Name:EUDY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RILEY
Other - Middle Name:MICHELLE
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2901 WESLEY CHAPEL STOUTS RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7940
Mailing Address - Country:US
Mailing Address - Phone:704-283-9163
Mailing Address - Fax:
Practice Address - Street 1:2901 WESLEY CHAPEL STOUTS RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7940
Practice Address - Country:US
Practice Address - Phone:704-283-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily