Individual provider · Type 1 NPI

Michelle Rae Rivera

Family Nurse Practitioner · Phoenix, AZ

NPI number 1174290910 Active

Practice location

10631 S 51st St Ste 8
Phoenix, AZ 85044-5225

Mailing address

10901 E Pueblo Ave
Mesa, AZ 85208-3907

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XRN158234 (AZ)
Family Nurse Practitioner Primary 363LF0000X265613 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1174290910

Michelle Rae Rivera's National Provider Identifier is 1174290910, issued on Aug 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 25, 2024.