Provider Demographics
NPI:1083918601
Name:CIENIAWA RIVERA, LAURA A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:A
Last Name:CIENIAWA RIVERA
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:559 W GERMANTOWN AVE
Mailing Address - Street 2:EINSTEIN MONTGOMERY HOSPITAL PREADMISSION TESTING DEPT
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:559 W GERMANTOWN PIKE
Practice Address - Street 2:EINSTEIN MONTGOMERY HOSPITAL PREADMISSION TESTING DEPT
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4250
Practice Address - Country:US
Practice Address - Phone:484-622-1501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010593363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health