Individual
MR. CARLOS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
24 W CAMELBACK RD STE A262, PHOENIX, AZ 85013-2529
(623) 377-2747
Mailing address
24 W CAMELBACK RD STE A262, PHOENIX, AZ 85013-2529
(623) 377-2747
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN157120
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP8840
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168809
—
AZ
Enumeration date
01/28/2011
Last updated
09/26/2024
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