Individual provider · Type 1 NPI
Leticia Rivera
Family Nurse Practitioner · Montclair, NJ
NPI number
1104736933
Active
Practice location
7 Van Vleck St Apt 10
Montclair, NJ 07042-2365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ15636800 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104736933
Leticia Rivera's National Provider Identifier is 1104736933, issued on Sep 11, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montclair, NJ. The record was last updated on Sep 11, 2026.