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Liset Rivera

Licensed Practical Nurse in Springfield, MA. Individual provider (NPI-1).

NPI number1316680804
StatusActive
Last updated in NPPESApr 14, 2022

Details

NPI
1316680804
Entity type
Individual (NPI-1)
Name
Liset Rivera
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2022
Certification date
Apr 14, 2022
Last updated
Apr 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLN99194MAYes

Practice location

511 E Columbus Ave
Springfield, MA 01105-2506

Phone 413-266-4072

Mailing address

511 E Columbus Ave
Springfield, MA 01105-2506

Phone 413-266-4077

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