Individual
CRYSTAL M RIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9505
(313) 916-9556
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9505
(313) 916-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704221117
MI
Other
Enumeration date
08/18/2010
Last updated
10/11/2016
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