Provider Demographics
NPI:1578867164
Name:RILEY, EMILY JOY (PNP)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:JOY
Last Name:RILEY
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 505488
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-5488
Mailing Address - Country:US
Mailing Address - Phone:314-859-4000
Mailing Address - Fax:314-273-4110
Practice Address - Street 1:5114 MID AMERICA PLZ
Practice Address - Street 2:STE 2C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-0003
Practice Address - Country:US
Practice Address - Phone:314-859-4000
Practice Address - Fax:314-273-4110
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010041912363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics