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Individual

KATHRYN RIVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2215 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6322
(504) 838-3524
Mailing address
4825 MEADOWDALE ST, METAIRIE, LA 70006-4037
(504) 455-1357

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN098925 - AP06432
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04832872
MS
05
2357701
LA
Enumeration date
05/16/2011
Last updated
11/26/2014
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