Individual
AMANDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3090
Mailing address
5407 9TH ST NW, APT 109, WASHINGTON, DC 20011-2920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174875
VA
367500000X
Certified Registered Nurse Anesthetist
RN1015599
DC
Other
Enumeration date
09/01/2015
Last updated
01/03/2019
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