Individual
KRISTA RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
111 RALEY BLVD, SUITE 220, CHICO, CA 95928-8351
(530) 345-4471
Mailing address
111 RALEY BLVD, CHICO, CA 95928-8351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
732010
CA
363LW0102X
Women's Health Nurse Practitioner
95003048
CA
367A00000X
Advanced Practice Midwife
Primary
235749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235749
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
732010
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
95003048
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
11/03/2015
Last updated
11/03/2015
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