Individual
MRS. RAQUEL IVET RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4110 N 108TH AVE STE 105, PHOENIX, AZ 85037-5772
(623) 772-6999
(623) 772-6444
Mailing address
4110 N 108TH AVE STE 105, PHOENIX, AZ 85037-5772
(623) 772-6999
(623) 772-6444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10626
AZ
Other
Enumeration date
10/12/2017
Last updated
06/22/2021
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