Individual
JUDY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 GATEWAY BLVD APT 102, HILLSBOROUGH, NJ 08844-4569
(201) 647-8523
Mailing address
1 GATEWAY BLVD APT 102, HILLSBOROUGH, NJ 08844-4569
(201) 647-8523
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR12093800
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ01290700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01290700
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01290700
NJ
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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