Individual
MRS. STEPHANIE D RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43380 QUAIL ST, HOLLYWOOD, MD 20636-4111
(240) 587-7186
Mailing address
43380 QUAIL ST, HOLLYWOOD, MD 20636-4111
(301) 710-2810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R195025
MD
163WA2000X
Administrator Registered Nurse
R195025
MD
163WC0400X
Case Management Registered Nurse
Primary
R195025
MD
163WC1500X
Community Health Registered Nurse
R195025
MD
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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