Rivera, Michelle Diane

Rivera, Michelle Diane is an individual health care provider with primary practice located at 1705 E 19Th St Ste 302 , Tulsa OK 74104-5410. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Rivera, Michelle Diane can be contacted via phone (918) 748-7585.

Contact Information

Primary practice address
1705 E 19Th St Ste 302 Tulsa OK 74104-5410
Phone: (918) 748-7585
Fax: (918) 403-6352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 113676 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 113676 Oklahoma

Profile Details

NPI number 1720614373
LBN Legal business name Rivera, Michelle Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2020
Last updated Aug 4th, 2020 - about 5 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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