# MS. AMANDA TRACY RIVERA

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

## Provider details

- **NPI number:** 1568973618
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 676126 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F402924 | NY | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 03/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 676126 | REGISTERED PROFESSIONAL NURSE LICENCE | NY |
| 01 | — | F402924 | NURSE PRACTITIONER IN PSYCHIATRY | NY |