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Individual

DORIS MARIE RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,NNP-BC

Contact information

Practice address
3001 E PRESIDENT GEORGE BUSH HWY STE 250, RICHARDSON, TX 75082-3552
(432) 332-4983
Mailing address
2653 SAN ANDRES DR, ODESSA, TX 79763-2331
(432) 334-6124

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
239552
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
239552
NP LICENSE
TX
Enumeration date
04/09/2007
Last updated
10/02/2013
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