Individual
PRISCILLA ANN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
613 PARK AVE FL 2, EAST ORANGE, NJ 07017-1905
(973) 672-8573
(973) 675-0040
Mailing address
613 PARK AVE FL 2, EAST ORANGE, NJ 07017-1905
(973) 672-8573
(973) 675-0040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
798247
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15305500
NJ
Other
Enumeration date
01/31/2023
Last updated
10/28/2025
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