Individual
MIRIANNYS RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
655 BROAD ST STE 201, PROVIDENCE, RI 02907-1444
(401) 390-0734
Mailing address
655 BROAD ST STE 201, PROVIDENCE, RI 02907-1444
(401) 642-0100
(833) 992-2318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02001
RI
Other
Enumeration date
02/08/2019
Last updated
03/18/2024
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