Individual
LISA DENISE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 SYMPHONY CIR, BUFFALO, NY 14201-1363
(716) 783-3221
Mailing address
30 RED OAK DR, WILLIAMSVILLE, NY 14221-2302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F337867-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402533-01
NY
Other
Enumeration date
12/12/2013
Last updated
06/11/2023
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