Provider Demographics
NPI:1205241627
Name:RIAD, RASHA MOHAMED (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RASHA
Middle Name:MOHAMED
Last Name:RIAD
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Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:505 S BURG ST
Mailing Address - Street 2:300
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1313
Mailing Address - Country:US
Mailing Address - Phone:308-235-1951
Mailing Address - Fax:308-235-2403
Practice Address - Street 1:800 EAST 20TH STREET
Practice Address - Street 2:300
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-633-7444
Practice Address - Fax:307-996-1595
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2017-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WY28979.1331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily