Individual
NICOLE VANESSA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 BLACKSTONE BLV, PSYCHIATRY, PROVIDENCE, RI 02906-0290
(401) 455-6200
(401) 455-6689
Mailing address
3600 FORBES AVE, FORBES TOWER PLAZA SUITE 140, PITTSBURGH, PA 15213-3410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD17521
RI
Other
Enumeration date
04/10/2017
Last updated
09/06/2022
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