Individual provider · Type 1 NPI
Elyssa Bangunan Rivero, NURSE PRACTITIONER
Acute Care Nurse Practitioner · West Hollywood, CA
NPI number
1447865860
Active
Practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95008275 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1447865860
Elyssa Bangunan Rivero, NURSE PRACTITIONER's National Provider Identifier is 1447865860, issued on Sep 11, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in West Hollywood, CA. The record was last updated on Sep 11, 2020.