Individual
MICHAEL CUE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1110 MULLIKEN ST, CARLYLE, IL 62231-1233
(618) 594-3613
(888) 859-4347
Mailing address
1110 MULLIKEN ST, CARLYLE, IL 62231-1233
(618) 594-3613
(888) 859-4347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209002421
IL
363LF0000X
Family Nurse Practitioner
209002421
IL
Other
Enumeration date
09/19/2005
Last updated
12/17/2021
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