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Individual

EMILY RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13920 QUAILBROOK DR, OKLAHOMA CITY, OK 73134-1718
(405) 848-8884
(405) 713-4656
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 848-8884
(405) 713-4656

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200386
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200386
NP
OK
01
F09201166
AANP
Enumeration date
01/13/2021
Last updated
06/25/2021
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