Individual
MRS. SOUVENIR CULANCULAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
PROVIDENCE MEDICAL CENTER, 8929 PARALLEL PARKWAY, KANSAS CITY, KS 66112
(913) 596-4860
Mailing address
14820 W 81ST TER, LENEXA, KS 66215-4282
(913) 406-6735
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
44447
KS
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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