Individual
MS. SHANDA LYNN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006195
KY
363LF0000X
Family Nurse Practitioner
3006195
KY
Other
Enumeration date
11/30/2009
Last updated
02/07/2026
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