Individual provider · Type 1 NPI

Theola J. Rivera, FNP-C

Family Nurse Practitioner · Shelby Township, MI

NPI number 1073157756 Active

Practice location

8180 26 Mile Rd, Suite 100
Shelby Township, MI 48316-5129

Fax (586) 336-7356

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704294800 (MI)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1073157756

Theola J. Rivera, FNP-C's National Provider Identifier is 1073157756, issued on Nov 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelby Township, MI. The record was last updated on Mar 18, 2021.