Individual
JOSHUA PAUL LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 419-5410
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 419-5410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2377548
MA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
E0914836
MA
Other
Enumeration date
01/27/2023
Last updated
02/16/2023
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