Individual
ALEXIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Mailing address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11041455
FL
363LG0600X
Gerontology Nurse Practitioner
11041455
FL
Other
Enumeration date
08/11/2025
Last updated
09/29/2025
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