Individual provider · Type 1 NPI
Macie Lynn Rivera, DNP, CPNP-PC
Pediatric Nurse Practitioner · Tucson, AZ
NPI number
1679240295
Active
Practice location
839 W Congress St
Tucson, AZ 85745-2819
Fax (520) 309-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN213207 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 321936 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1679240295
Macie Lynn Rivera, DNP, CPNP-PC's National Provider Identifier is 1679240295, issued on Aug 23, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tucson, AZ. The record was last updated on Jul 29, 2025.