Provider Demographics
NPI:1083297725
Name:RIVAS, ERIKA (APRN)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:RIVAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 N CENTRAL AVE STE 460
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1995
Mailing Address - Country:US
Mailing Address - Phone:646-450-7748
Mailing Address - Fax:
Practice Address - Street 1:3800 N CENTRAL AVE STE 460
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1995
Practice Address - Country:US
Practice Address - Phone:646-450-7748
Practice Address - Fax:718-481-2061
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253592363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health