Individual
BRIAN DAVID RIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6204
(301) 997-6507
Mailing address
PO BOX 824339, PHILADELPHIA, PA 19182-4339
(866) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9371084
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R139302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76700
AANA
MD
Enumeration date
09/06/2006
Last updated
01/06/2014
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