Individual
REBECCA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2800
Mailing address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15374000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP033183
PA
Other
Enumeration date
06/24/2025
Last updated
12/12/2025
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