Individual
CAITLYN RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 OAK ST, PITTSTON, PA 18640-3798
(570) 808-9918
Mailing address
100 N ACADEMY AVE # MC4903, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
22015
CA
363A00000X
Physician Assistant
OA003286
PA
363AM0700X
Medical Physician Assistant
Primary
MA055428
PA
Other
Enumeration date
12/30/2011
Last updated
04/04/2025
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