| Doctor Name: | MRS. NANCY SLONE RIVERA |
| NPI Number: | 1083814529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 209.0065596 |
| Business Practice Address: | 1719 Belle Plaine Ave Gurnee, IL - 600315498 |
| Business Phone Number: | 8472446511 |
| Business Fax Number: | |
| Mailing Address: | 1719 Belle Plaine Ave, GURNEE |
| State: | IL |
| Postal Code: | 600315498 |
| Phone Number: | 8474943158 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0900X |
| License Number: | 209.0065596 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Enterostomal Therapy |
| Taxonomy Definition: | |