Rivera, Souvenir Culanculan

Rivera, Souvenir Culanculan is an individual health care provider with primary practice located at Providence Medical Center 8929 Parallel Parkway, Kansas City KS 66112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Rivera, Souvenir Culanculan can be contacted via phone (913) 596-4860.

Contact Information

Primary practice address
Providence Medical Center 8929 Parallel Parkway Kansas City KS 66112
Phone: (913) 596-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 44447 Kansas

Profile Details

NPI number 1346464708
LBN Legal business name Rivera, Souvenir Culanculan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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