Individual
STEPHANIE RIVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, PHN
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 399-7676
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
191498-8
MN
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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