Individual
LATOYA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 WEAVER DAIRY RD, CHAPEL HILL, NC 27514-1438
(919) 918-3218
Mailing address
1101 BRIARWOOD DR, MEBANE, NC 27302-7182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012054
NC
363LG0600X
Gerontology Nurse Practitioner
5012054
NC
Other
Enumeration date
08/16/2019
Last updated
08/12/2021
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