Individual
IRENE NORMA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3831 HUGHES AVE STE 604, CULVER CITY, CA 90232-6848
(310) 839-4381
Mailing address
3831 HUGHES AVE STE 604, CULVER CITY, CA 90232-6848
(310) 839-4381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN388734
CA
367A00000X
Advanced Practice Midwife
Primary
925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
925
MIDWIFE LICENSE NUMBER
CA
01
—
RN388734
BOARD OF REGISTERED NURSING
CA
Enumeration date
05/13/2010
Last updated
05/13/2010
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