Provider Demographics
NPI:1831107796
Name:RIVERA, CHRISTINE ANGELA (RN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ANGELA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 827 BOX 147
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:EUROPE
Mailing Address - Zip Code:39
Mailing Address - Country:IT
Mailing Address - Phone:39338-385-0540
Mailing Address - Fax:
Practice Address - Street 1:PSC 827 BOX 147
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:EUROPE
Practice Address - Zip Code:39
Practice Address - Country:IT
Practice Address - Phone:39338-385-0540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO127078163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse