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NPI Code Detail

MEDICARE: MS. SHERRY LYNN RILEY ARNP

MEDICARE: MS. SHERRY LYNN RILEY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP2741782FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467769612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERRY LYNN RILEY ARNP
Provider Business Mailing Address
First Line : 3300 DAIRY RD
Second Line :
City : TITUSVILLE
State : FL
Zip : 32796-1512
Country : US
Telephone Number : 321-269-6530
Fax Number :
Provider Business Practice Location Address
First Line : 3300 DAIRY RD
Second Line :
City : TITUSVILLE
State : FL
Zip : 32796-1512
Country : US
Telephone Number : 321-269-6530
Fax Number : 321-269-2334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2010
Last Update Date : 04/06/2018

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