person
Lisa A Rivera, NP
Psychiatric/Mental Health Nurse Practitioner in Suffolk, Virginia
NPI 1225200066

Lisa A Rivera is a Psychiatric/Mental Health Nurse Practitioner based in Suffolk, VA and is specialized in Psychiatric/Mental Health. Lisa A Rivera practices in Suffolk, VA and has the professional credentials of NP. The NPI Number for Lisa A Rivera is 1225200066 and holds a License No. 0024167690 (Virginia).

The current practice location address for Lisa A Rivera is 1000 Commercial Ln, Suffolk, VA and can be reached out via phone at 757-942-1025 and via fax at 757-925-3504.

Location: 1000 Commercial Ln, Suffolk, VA, 23434-8114
person
Provider Profile Details
NPI Number
1225200066
Provider Name
Lisa A Rivera
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 Commercial Ln, Suffolk, VA, 23434-8114
Phone Number
757-942-1025
Fax Number
757-925-3504
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004945310 05 VA
institution
Provider Business Practice Location Address Details
Address
1000 Commercial Ln
City
State
Zip
23434-8148
Phone Number
757-942-1025
Fax Number
757-925-3504
person
Provider Business Mailing Address Details
Address
1000 Commercial Ln
City
State
Zip
23434-8148
Phone Number
757-942-1025
Fax Number
757-925-3504
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024167690 (Virginia)
Definition
Definition to come...
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