Individual
MRS. ANDREA MICHELLE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
645 PREAKNESS AVE, WAYNE, NJ 07470-2533
(973) 452-4674
Mailing address
645 PREAKNESS AVE, WAYNE, NJ 07470-2533
(973) 452-4674
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00600700
NJ
Other
Enumeration date
01/12/2016
Last updated
06/17/2024
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