MS. JUDITH CHRISTINA RIVERA CRNP AGACNP-BC NPI 1063023349

NPI Information

  • NPI: 1063023349
  • Provider Name: MS. JUDITH CHRISTINA RIVERA, CRNP AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 SPRUCE STREET
    CICU F11
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 850-6354

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NPI Details

MS. Judith Christina Rivera, CRNP AGACNP-BC is an acute care nurse practitioner in Philadelphia, PA. MS. Judith Christina Rivera, CRNP AGACNP-BC NPI is 1063023349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE STREET
CICU F11
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 850-6354

The NPI 1063023349 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 8/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareSP021572PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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