Individual
RILEY SHARBONNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 559-2171
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-8812
(763) 559-2171
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R157123-7
MN
363LF0000X
Family Nurse Practitioner
Primary
6436
MN
Other
Enumeration date
10/27/2016
Last updated
12/29/2020
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