Individual
MRS. NYASIA IVELISSE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(866) 377-2778
(609) 754-9249
Mailing address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15111200
NJ
Other
Enumeration date
08/29/2024
Last updated
08/05/2026
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