Provider Demographics
NPI:1134457369
Name:RILEY, SHANDA LYNN (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SHANDA
Middle Name:LYNN
Last Name:RILEY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
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Mailing Address - Street 1:2210 GREEN VALLEY RD
Mailing Address - Street 2:KENTUCKY ONE HEALTH / UNIVERSITY OF LOUISVILLE HOSPITAL
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4648
Mailing Address - Country:US
Mailing Address - Phone:812-945-4000
Mailing Address - Fax:812-941-5714
Practice Address - Street 1:530 S JACKSON ST
Practice Address - Street 2:KENTUCKY ONE HEALTH / UNIVERSITY OF LOUISVILLE HOSPITAL
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1675
Practice Address - Country:US
Practice Address - Phone:502-439-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2017-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3006195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily