Individual
LAURICE JOYCE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
180 MELROSE AVE, BERGENFIELD, NJ 07621-3428
(201) 647-3428
Mailing address
180 MELROSE AVE, BERGENFIELD, NJ 07621-3428
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
603426
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
350372
NY
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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