Individual provider · Type 1 NPI

Jean Piere Rivera Nieves, PA

Medical Physician Assistant · Bonney Lake, WA

NPI number 1053946459 Active

Practice location

10004 204th Ave E
Bonney Lake, WA 98391-6539

Mailing address

2904 4th Ave NE
Puyallup, WA 98372-7053

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA61031699 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1053946459

Jean Piere Rivera Nieves, PA's National Provider Identifier is 1053946459, issued on Mar 5, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bonney Lake, WA. The record was last updated on Feb 13, 2025.