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Individual

AMELIA E RIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.025318
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2408380
INDEPENDANT PROVIDER NUMB
OH
01
RN304846
REGISTERED NURSE LICENSE
OH
Enumeration date
08/11/2006
Last updated
09/23/2024
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