Individual provider · Type 1 NPI
Laurette Elizabeth Rivers, APRN, CPNP-PC, CLC
Pediatric Nurse Practitioner · Lawton, OK
NPI number
1205254752
Active
Practice location
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Fax (580) 354-5511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 92722 (OK) |
| Registered Nurse | 163W00000X | 85067 (HI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2275 (HI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205254752
Laurette Elizabeth Rivers, APRN, CPNP-PC, CLC's National Provider Identifier is 1205254752, issued on Apr 2, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lawton, OK. The record was last updated on Mar 26, 2018.