Individual
NATHALIE JAQUELINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
(732) 923-2272
Mailing address
555 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2817
(201) 463-4491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025675-01
NY
363A00000X
Physician Assistant
Primary
25MP00584800
NJ
Other
Enumeration date
10/08/2020
Last updated
04/04/2025
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