Individual
BROOKE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186966
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP9237203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003893800
—
FL
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
06/21/2011
Last updated
07/24/2023
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