Individual provider · Type 1 NPI
Itzel Rivera
Gerontology Nurse Practitioner · El Paso, TX
NPI number
1053977892
Active
Practice location
2000 B Transmountain Road, Suite B 400
El Paso, TX 79911
Mailing address
7251 Longspur Dr.
El Paso, TX 79911
Other practice locations
- 2000 Transmountain Rd Ste A, El Paso, TX 79911-3602 · (915) 215-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP138400 (TX) |
| Nurse Practitioner | 363L00000X | AP138400 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1053977892
Itzel Rivera's National Provider Identifier is 1053977892, issued on May 16, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in El Paso, TX. The record was last updated on May 26, 2021.