Rivera, Priscilla
Rivera, Priscilla is an individual health care provider with primary practice located at 7000 Cermak Rd 3Rd Floor, Berwyn IL 60402-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rivera, Priscilla can be contacted via phone (708) 484-8090.Contact Information
Primary practice address
7000 Cermak Rd 3Rd Floor
Berwyn IL 60402-2112
Phone: (708) 484-8090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209.008501 | Illinois |
Profile Details
| NPI number | 1205116282 |
|---|---|
| LBN Legal business name | Rivera, Priscilla |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Oct 19th, 2015 - about 10 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 | 1205116282 | NPPES |
| Other | F400179195 | MEDICARE PTAN |
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