Riley, Sherry Lynn

Riley, Sherry Lynn is an individual health care provider with primary practice located at 3300 Dairy Rd , Titusville FL 32796-1512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riley, Sherry Lynn can be contacted via phone (321) 269-6530.

Contact Information

Primary practice address
3300 Dairy Rd Titusville FL 32796-1512
Phone: (321) 269-6530
Fax: (321) 269-2334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2741782 Florida

Profile Details

NPI number 1467769612
LBN Legal business name Riley, Sherry Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Apr 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467769612 NPPES
Florida MEDICAID 004505000

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