Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Shannon Rose Riley

Individual provider Registered Nurse · NPI 1134714231

MS. Shannon Rose Riley is a Registered Nurse in Brockton, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

63 Main St
Brockton, MA 02301-4042
Phone: (508) 559-6699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Washington Ave S, Minneapolis, MN 55401-2110 — (855) 705-5444

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2301935 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2301935 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134714231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2021
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

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