Alonso Rivera, Eileen

Alonso Rivera, Eileen is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Alonso Rivera, Eileen can be contacted via phone (239) 343-6860.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908
Fax: (239) 343-5179
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9335239 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9335239 Florida

Profile Details

NPI number 1942740634
LBN Legal business name Alonso Rivera, Eileen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Mar 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942740634 NPPES
Florida MEDICAID 022051600

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