Individual
MS. JUDITH CHRISTINA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP AGACNP-BC
Contact information
Practice address
3400 SPRUCE STREET, CICU F11, PHILADELPHIA, PA 19104-4238
(215) 850-6354
Mailing address
1221 VILSMEIER RD, LANSDALE, PA 19446-1712
(215) 850-6354
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021572
PA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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