Provider Demographics
NPI:1255218947
Name:MOLL, RILEY (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:MOLL
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 1:1040 LAKE SUMTER LNDG
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-2697
Mailing Address - Country:US
Mailing Address - Phone:352-218-3211
Mailing Address - Fax:877-699-3709
Practice Address - Street 1:1040 LAKE SUMTER LNDG
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-2697
Practice Address - Country:US
Practice Address - Phone:352-218-3211
Practice Address - Fax:877-699-3709
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11033935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily