# JUDY RIVERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316697675
- **Gender:** F
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 26NR12093800 | NJ | — |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ01290700 | NJ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 26NJ01290700 | NJ | — |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ01290700 | NJ | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 03/28/2022