Individual
NICOLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N DUNLAP ST FL 2, MEMPHIS, TN 38103-2800
(901) 287-6060
(901) 287-5102
Mailing address
50 N DUNLAP ST FL 2, MEMPHIS, TN 38103-2800
(901) 287-6060
(901) 287-5102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225167
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
26495
TN
367500000X
Certified Registered Nurse Anesthetist
APRN11038134
FL
Other
Enumeration date
08/22/2019
Last updated
03/17/2026
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