Provider Demographics
NPI:1073742078
Name:LORVIL, RIVELINA JOHANNE
Entity Type:Individual
Prefix:
First Name:RIVELINA
Middle Name:JOHANNE
Last Name:LORVIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 INWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3105
Mailing Address - Country:US
Mailing Address - Phone:845-570-3061
Mailing Address - Fax:
Practice Address - Street 1:21 INWOOD LN
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3105
Practice Address - Country:US
Practice Address - Phone:845-570-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-11
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270233-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse