Provider Demographics
NPI:1851049928
Name:RIVERA, JULIA (DONA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 E HUBBELL ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1751
Mailing Address - Country:US
Mailing Address - Phone:520-465-3135
Mailing Address - Fax:
Practice Address - Street 1:1418 E HUBBELL ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1751
Practice Address - Country:US
Practice Address - Phone:520-465-3135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13900374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula