Individual provider · Type 1 NPI

Nicole Rivas

Licensed Practical Nurse · Medford, NY

NPI number 1578856324 Active

Practice location

107 Villas Dr
Medford, NY 11763-2136

Call (631) 742-8305 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302709 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1578856324

Nicole Rivas's National Provider Identifier is 1578856324, issued on May 25, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on May 25, 2011.