Individual
ITZEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 B TRANSMOUNTAIN ROAD, SUITE B 400, EL PASO, TX 79911
(915) 215-8407
Mailing address
7251 LONGSPUR DR., EL PASO, TX 79911
(915) 244-2864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP138400
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP138400
TX
Other
Enumeration date
05/16/2019
Last updated
05/26/2021
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