Individual
MRS. IRMA CLARITA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5043959-4405
UT
363LF0000X
Family Nurse Practitioner
5043959-4405
UT
Other
Enumeration date
10/18/2016
Last updated
04/20/2022
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