Individual
MRS. KELLY VANESSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
10416 MORNING STAR DR NE, ALBUQUERQUE, NM 87111-7539
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 90644, ALBUQUERQUE, NM 87199-0644
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57165
NM
Other
Enumeration date
10/18/2012
Last updated
05/09/2025
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