Doctor Name: | MS. NANCY RIVAS |
NPI Number: | 1629310024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 22162 |
Business Practice Address: | 404 S 1st St King City, CA - 939302947 |
Business Phone Number: | 8317373588 |
Business Fax Number: | |
Mailing Address: | 446 Holiday Hills Dr, MARTINEZ |
State: | CA |
Postal Code: | 945534218 |
Phone Number: | 9252125047 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2013 |
NPI Last Update Date: | 03/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 22162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |