Healthcare Provider Details

I. General information

NPI: 1326327768
Provider Name (Legal Business Name): ALLISON MARIE RIEGELMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON MARIE LUECK

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 METROCENTRE BLVD STE 3
WEST PALM BEACH FL
33407-3100
US

IV. Provider business mailing address

2580 METROCENTRE BLVD STE 3
WEST PALM BEACH FL
33407-3100
US

V. Phone/Fax

Practice location:
  • Phone: 561-594-1840
  • Fax: 800-906-3055
Mailing address:
  • Phone: 561-594-1840
  • Fax: 800-906-3055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9170057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: