Individual
POLINA B RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2200
Mailing address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4791
MN
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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