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

Mr. Randal Anthony Riley Jr., LPN

Individual provider Licensed Practical Nurse · NPI 1124503776

Mr. Randal Anthony Riley Jr., LPN is a Licensed Practical Nurse in Brown Deer, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

4363 W Dean Rd Apt 164
Brown Deer, WI 53223-3100
Phone: (305) 978-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 252849-30 (WI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 321568 (WI)

Record details

NPI number1124503776
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedSeptember 29, 2018
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

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