Riley, Shaundra

Riley, Shaundra is an individual health care provider with primary practice located at 4300 Market Pte Dr Ste 100 , Bloomington MN 55435-5435. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Riley, Shaundra can be contacted via phone (925) 767-4574.

Contact Information

Primary practice address
4300 Market Pte Dr Ste 100 Bloomington MN 55435-5435
Phone: (925) 767-4574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2013034497 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 53-76188-122 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6711 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016036656 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-76188-122 Kansas

Profile Details

NPI number 1295157634
LBN Legal business name Riley, Shaundra
Credentials WHNP-BC, FNP-BC,ENP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2014
Last updated May 25th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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