Individual
CELINE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
205 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732-1836
(803) 327-2012
(803) 327-4198
Mailing address
524 DOCTORS CT, CHESTER, SC 29706-8644
(803) 327-4198
(803) 385-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.3998RX
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.3998RX
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1592
—
SC
01
—
P01173514
RR-MEDICARE
SC
Enumeration date
10/02/2009
Last updated
11/30/2021
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