Individual
VANESSA RENE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1123744
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1123744
TX
363LP2300X
Primary Care Nurse Practitioner
1123744
TX
Other
Enumeration date
09/19/2023
Last updated
10/14/2024
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