Individual
MRS. LISA CHRISTINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-4176
(203) 200-2069
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-4176
(203) 200-2069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
004208
CT
Other
Enumeration date
11/13/2008
Last updated
01/19/2012
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