NPI 1043190812

Wayne Leroy Riley

Practitioner Child Physical Disabilities Respite Care Grand Forks, ND

Practice location

Address: 1628 Lewis Blvd, Grand Forks, ND 58203-1639
Phone: (701) 740-0470

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X

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Registry record

NPI: 1043190812
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2025
Record last updated: 3 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.