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Individual
SANDRA RIESKE
Active
Individual
SANDRA RIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006705
NC
363L00000X
Nurse Practitioner
NP-07477
OH
363LF0000X
Family Nurse Practitioner
Primary
5006705
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104975747
—
NC
01
—
188AU
BCBS NC
NC
05
—
2441227
—
OH
Enumeration date
01/10/2007
Last updated
07/19/2026
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