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Individual

JUAN CARLOS RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
439 N MCLEAN BLVD STE 204, WICHITA, KS 67203-5900
(316) 358-0025
(316) 776-4554
Mailing address
439 N MCLEAN BLVD STE 204, WICHITA, KS 67203-5900
(316) 358-0025
(316) 776-4554

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112763
NE
363L00000X
Nurse Practitioner
Primary
80189
KS

Other

Enumeration date
06/18/2019
Last updated
02/14/2023
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