Denise Rivera, FNP
Nurse Practitioner, Family in Apple Valley, CA. Individual provider (NPI-1).
NPI number1164030706
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1164030706
- Entity type
- Individual (NPI-1)
- Name
- Denise Rivera
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95014944 | CA | Yes |
Practice location
18092 Wika Rd Ste 130Apple Valley, CA 92307-2132
Phone 442-292-2358
Mailing address
18092 Wika Rd Ste 130Apple Valley, CA 92307-2132
Phone 442-292-2358
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