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

Individual provider Gerontology Nurse Practitioner · NPI 1952185076

Riley Kae Oberholtzer is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

9225 N 3rd St Ste 300
Phoenix, AZ 85020-2466
Phone: (602) 445-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 E Dunlap Ave, Phoenix, AZ 85020-2825 — (602) 445-0751

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 238479 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 238479 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 238479 (AZ)

Record details

NPI number1952185076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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