Rivera, Deborah Ann
Rivera, Deborah Ann is an individual health care provider with primary practice located at 6801 Jefferson Nest 350 , Albuquerque NM 87109-4361. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rivera, Deborah Ann can be contacted via phone (505) 884-8900.Contact Information
Primary practice address
6801 Jefferson Nest 350
Albuquerque NM 87109-4361
Phone: (505) 884-8900
Fax: (888) 699-4725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2003-0031 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2003-003 | New Mexico |
Profile Details
| NPI number | 1992777130 |
|---|---|
| LBN Legal business name | Rivera, Deborah Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 5th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992777130 | NPPES |
| New Mexico | Other | PROVP15120 | MOLINA |
| New Mexico | Other | P00081095 | MOLINA |
| New Mexico | MEDICAID | 85324582 | MOLINA |
| New Mexico | MEDICAID | 833104 | MOLINA |
| New Mexico | Other | 10005924 | MOLINA |
| New Mexico | Other | 201044362 | MOLINA |
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