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Individual

SUSAN D RIVERA

Active
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Individual

SUSAN D RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9415507
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000111033
GROUP ANTHEM
IN
01
000000368986
ANTHEM
IN
05
016093400
FL
01
02PZH
BCBS
FL
05
200471680
IN
01
CJ8803
GROUP RR MEDICARE
IN
01
P00146163
RR MEDICARE
IN
Enumeration date
11/02/2005
Last updated
07/19/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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