Individual provider · Type 1 NPI
Shannon Rose Riley
Nurse Practitioner · Brockton, MA
Practice location
63 Main St
Brockton, MA 02301-4042
Other practice locations
- 100 Washington Ave S, Minneapolis, MN 55401-2110 · (855) 705-5444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2301935 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | RN2301935 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1134714231
Shannon Rose Riley's National Provider Identifier is 1134714231, issued on Mar 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brockton, MA. The record was last updated on Aug 12, 2022.