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Individual

MR. WILLIAM CARL RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
116 LANGLEY PKWY, CONCORD, NH 03301-7521
(603) 228-7211
Mailing address
4 CHADDARIN LN, PLYMOUTH, NH 03264-4400
(202) 441-7512

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024165528
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
084359-23
NH
367500000X
Certified Registered Nurse Anesthetist
R115089
MD
367500000X
Certified Registered Nurse Anesthetist
RN59997
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409194900
MD
Enumeration date
12/06/2006
Last updated
12/30/2023
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