Christie Lee Rivard, PA-C
Physician Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1871069625
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1871069625
- Entity type
- Individual (NPI-1)
- Name
- Christie Lee Rivard
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
925 Chestnut St Fl 5Philadelphia, PA 19107-4206
Phone 267-339-3500
Mailing address
833 Chestnut St Ste 520Philadelphia, PA 19107-4414
Phone 267-297-2455
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