Provider Demographics
NPI:1568719557
Name:RIVERA-BURCIAGA, ANDRYA RENE (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANDRYA
Middle Name:RENE
Last Name:RIVERA-BURCIAGA
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
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Mailing Address - Street 1:1340 S DAMEN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1169
Mailing Address - Country:US
Mailing Address - Phone:312-292-4800
Mailing Address - Fax:312-564-4059
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8237
Practice Address - Country:US
Practice Address - Phone:773-292-4800
Practice Address - Fax:312-564-4059
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2020-10-12
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Provider Licenses
StateLicense IDTaxonomies
TXAP122294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX353222801Medicaid
TX261350YNG9Medicare PIN