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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA61031699 (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.