Individual
MRS. INGRID MARCELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4958 S RAINBOW BLVD, LAS VEGAS, NV 89118-1418
(702) 372-8994
Mailing address
PO BOX 30012, LAS VEGAS, NV 89173-0012
(702) 372-8994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
867014
NV
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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