Individual
SHERRY S. RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP
Contact information
Practice address
3525 E BATTLEFIELD ST, SPRINGFIELD, MO 65809-3434
(417) 269-1499
(417) 269-1459
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428381008
—
MO
Enumeration date
06/04/2006
Last updated
08/08/2022
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