| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TANAE RILEY | 1851159495 | 2024-03-09 |
Tanae Riley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851159495. Registration indicates Tanae Riley is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Tanae Riley |
| Practice Office Address | 1107 WASHIGTON ST MIDDLETOWN, OH US |
| Practice Office Telephone | 5136925186 |
| Mailing Address | 1107 WASHIGTON ST MIDDLETOWN, OH 45044 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1107 Washigton St | Middletown, OH 45044 | 5136925186 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |