Individual
SHAUNA M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
408 E 137TH ST, BRONX, NY 10454-4004
(718) 993-3458
Mailing address
1068 WHITE PLAINS RD, BRONX, NY 10472-6014
(917) 592-0885
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
824490-01
NY
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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