Individual
GLADYS M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
627 RANDALL RD, LUDLOW, MA 01056-1085
(413) 858-0322
Mailing address
273 WILLIAMS ST, LONGMEADOW, MA 01106-2017
(413) 262-4949
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2279300
MA
363L00000X
Nurse Practitioner
Primary
RN2279300
MA
363LF0000X
Family Nurse Practitioner
ARNP9423814
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9423814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300237
—
MA
Enumeration date
02/11/2013
Last updated
10/17/2022
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