Individual
MRS. AMY LORRAINE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
(210) 615-1666
Mailing address
9910 HUEBNER RD STE 250, SAN ANTONIO, TX 78240-1375
(210) 615-8500
(210) 615-8501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139666
TX
363LF0000X
Family Nurse Practitioner
AP139666
TX
Other
Enumeration date
11/16/2018
Last updated
05/06/2024
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