Individual
KATHRYNE LAURALEE RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARPN, CPNP-PC
Contact information
Practice address
1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 76063-7834
(682) 341-3910
(682) 400-1288
Mailing address
628 DELORES DR, GRAND PRAIRIE, TX 75052-4851
(972) 657-0984
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1084533
TX
Other
Enumeration date
06/16/2022
Last updated
02/20/2025
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