Individual
MS. MADELYN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 COMMONWEALTH AVE, BOSTON COLLEGE-UNIVERSITY HEALTH SERVICES CUSHING HALL, CHESTNUT HILL, MA 02467-3800
(617) 552-2659
(617) 552-3603
Mailing address
140 COMMONWEALTH AVE, BOSTON COLLEGE-UNIVERSITY HEALTH SERVICES CUSHING HALL, CHESTNUT HILL, MA 02467-3800
(617) 552-2659
(617) 552-3603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
185072
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343251
—
MA
Enumeration date
03/29/2006
Last updated
07/16/2008
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