Organization
DESERT SKY FAMILY CLINIC OF YUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA M. RIVERA MSN, FNP-C (FAMILY NURSE PRACTITIONER)
(928) 783-0919
Entity
Organization
Contact information
Practice address
2180 S 4TH AVE, SUITE A, YUMA, AZ 85364-6478
(928) 783-0919
Mailing address
2180 S 4TH AVE, SUITE A, YUMA, AZ 85364-6478
(928) 783-0919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 1944
AZ
363LF0000X
Family Nurse Practitioner
AP 3602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI 1720138415
NATIONAL PROVIDER IDENTIFIER
AZ
01
—
NPI 1992013122
NATIONAL PROVIDER IDENFIFICATION
AZ
Enumeration date
05/24/2011
Last updated
05/24/2011
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