Individual
MRS. ERIN EILEEN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CNS, APRN, BC
Contact information
Practice address
415 E COOK RD, SUITE 100, FORT WAYNE, IN 46825-3636
(260) 489-6030
(260) 489-5536
Mailing address
415 E COOK RD, SUITE 100, FORT WAYNE, IN 46825-3636
(260) 489-6030
(260) 489-5536
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
70000103A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
70000103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201006300
—
IN
Enumeration date
08/27/2006
Last updated
04/04/2012
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