Individual
MRS. KIMBERLY AROMY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4333
Mailing address
5032 HOUSE SPARROW DR, MADISONVILLE, LA 70447-3032
(985) 640-1043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220156
—
LA
Enumeration date
06/21/2021
Last updated
09/14/2023
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