Individual
KELLY ANNE RIVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
PBF ENERGY, 800 BILLINGSPORT ROAD, PAULSBOR, NJ 08066
(856) 224-6200
Mailing address
10 SAINT REGIS DR, WEST DEPTFORD, NJ 08096-3928
(609) 410-7557
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01156100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01156100
OCCUPATIONAL HEALTH APN
NJ
Enumeration date
08/10/2021
Last updated
08/10/2021
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