Individual
DIANA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9515 W CAMELBACK RD STE 118, PHOENIX, AZ 85037-1365
(623) 322-7856
Mailing address
12210 W LINCOLN ST, AVONDALE, AZ 85323-8412
(602) 748-7093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
309165
AZ
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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