Individual
DANIELLE C RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2979 MAIN ST, BRIDGEPORT, CT 06606-4284
(203) 382-2345
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 108-0974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7779
CT
Other
Enumeration date
08/23/2018
Last updated
10/12/2020
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