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Individual

MS. DEBORAH LINDSEY RIVERSTAR

Active
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Individual

MS. DEBORAH LINDSEY RIVERSTAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC, RN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
637801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4723
TSBNE NUMBER
TX
01
8Y4035
BCBS PVN
TX
01
NO139492
DPS
TX
Enumeration date
05/31/2006
Last updated
03/07/2023
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