Individual
MACIE LYNN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN213207
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
321936
AZ
Other
Enumeration date
08/23/2021
Last updated
07/29/2025
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