Individual
AMANDA NICOLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
Mailing address
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408-7602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000898
MD
363A00000X
Physician Assistant
Primary
0010-09429
NC
Other
Enumeration date
08/18/2016
Last updated
08/16/2022
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