Individual provider · Type 1 NPI
Marcos Eli Rivera, NP
Primary Care Nurse Practitioner · Medford, MA
NPI number
1467242834
Active
Practice location
26 City Hall Mall
Medford, MA 02155-4754
Mailing address
290 Mishawum Rd Unit 4047
Woburn, MA 01801-2275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2390102 (MA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN2390102 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1467242834
Marcos Eli Rivera, NP's National Provider Identifier is 1467242834, issued on May 8, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Medford, MA. The record was last updated on Jul 21, 2025.