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Individual
MS. AMANDA TRACY RIVERA
Active
Individual
MS. AMANDA TRACY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
676126
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676126
REGISTERED PROFESSIONAL NURSE LICENCE
NY
01
—
F402924
NURSE PRACTITIONER IN PSYCHIATRY
NY
Enumeration date
10/17/2017
Last updated
03/03/2026
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