Individual
MYKELL ERIN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 COLD CREEK WAY, LAYTON, UT 84041-7591
(801) 682-5898
Mailing address
945 COLD CREEK WAY, LAYTON, UT 84041-7591
(801) 682-5898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0123456
UT
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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