Individual
SHELAGH MARIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
(321) 637-3648
Mailing address
2900 VETERANS WAY, VIERA, FL 32940
(321) 637-3553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9195792
FL
Other
Enumeration date
05/11/2006
Last updated
03/04/2010
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