Individual
SUSAN RIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401-3057
(207) 992-2601
(207) 404-8351
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP131084
ME
Other
Enumeration date
10/16/2013
Last updated
03/23/2017
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