Provider Demographics
NPI:1477074730
Name:RIFFEE, SANDRA KAY (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAY
Last Name:RIFFEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 JADWYN RD
Mailing Address - Street 2:
Mailing Address - City:MAURERTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:22644-2343
Mailing Address - Country:US
Mailing Address - Phone:540-436-9294
Mailing Address - Fax:
Practice Address - Street 1:120 BELLVIEW AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3142
Practice Address - Country:US
Practice Address - Phone:540-723-8864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001185431163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator