Individual
ALICIA VON RIVENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3155 E 104TH AVE UNIT 6A, THORNTON, CO 80233-4231
(651) 307-9720
Mailing address
3155 E 104TH AVE UNIT 6A, THORNTON, CO 80233-4231
(651) 307-9720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0995630
CO
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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