Individual
MRS. LISA RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
141 HIGH ST, MEDFIELD, MA 02052-3116
(508) 454-0765
Mailing address
141 HIGH ST, MEDFIELD, MA 02052-3116
(508) 454-0765
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN184072
MA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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