Individual provider · Type 1 NPI

Tennille Rivera, FNP

Family Nurse Practitioner · Middletown, NY

NPI number 1992430904 Active

Practice location

95 Crystal Run Rd
Middletown, NY 10941-7001

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF350261 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1992430904

Tennille Rivera, FNP's National Provider Identifier is 1992430904, issued on Jul 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, NY. The record was last updated on Sep 28, 2022.