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

Nicolas Riley

Individual provider Independent Duty Corpsman · NPI 1528515046

Nicolas Riley is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5501 Marvin Shields Blvd
Gulfport, MS 39501-5007
Phone: (228) 822-5409
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1528515046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016

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