Provider Demographics
NPI:1245408376
Name:RIVERA, SHERALEE DENISE (CPHW/CCE)
Entity Type:Individual
Prefix:
First Name:SHERALEE
Middle Name:DENISE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:CPHW/CCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 E CHAPMAN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3990
Mailing Address - Country:US
Mailing Address - Phone:714-532-6222
Mailing Address - Fax:714-532-3943
Practice Address - Street 1:4010 E CHAPMAN AVE STE C
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3990
Practice Address - Country:US
Practice Address - Phone:714-532-6222
Practice Address - Fax:714-532-3943
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator