Individual provider · Type 1 NPI
Nicole Rivecca, PA-C
Medical Physician Assistant · Oak Creek, WI
NPI number
1306096532
Active
Practice location
200 E Ryan Rd, Suite 101
Oak Creek, WI 53154-4533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2337023 (WI) |
Medical Physician Assistant: Definition to come...
40 other providers at this address
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Other medical physician assistant providers in Oak Creek
About NPI 1306096532
Nicole Rivecca, PA-C's National Provider Identifier is 1306096532, issued on Sep 24, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oak Creek, WI. The record was last updated on Nov 17, 2008.