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Individual
SMYRNA LYNN RIVERA
Active
Individual
SMYRNA LYNN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019060194
IN
363LF0000X
Family Nurse Practitioner
28156574A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035623
—
IN
Enumeration date
11/01/2019
Last updated
08/25/2022
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