Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Riley

Individual provider Pediatric Nurse Practitioner · NPI 1649722562

Mary Riley is a Pediatric Nurse Practitioner in Roanoke, Virginia. Licensed in Maryland and Virginia. Registered with an NPI since 2016.

Licensed in
MD, VA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

4348 Electric Rd
Roanoke, VA 24018-0720
Phone: (540) 769-0976
Fax: (540) 857-5386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 0024175894 (VA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R218970 (MD)

Record details

NPI number1649722562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2016
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

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