MRS. LAURETTE ELIZABETH RIVERS APRN CPNP-PC CLC NPI 1205254752

NPI Information

NPI: 1205254752
Provider Name: MRS. LAURETTE ELIZABETH RIVERS, APRN, CPNP-PC, CLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1515 NE LAWRIE TATUM RD
LAWTON, OK
ZIP 73507
Phone: (580) 354-5500
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MRS. Laurette Elizabeth Rivers, APRN, CPNP-PC, CLC is a pediatrics nurse practitioner in Lawton, OK. MRS. Laurette Elizabeth Rivers, APRN, CPNP-PC, CLC NPI is 1205254752. 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:

1515 NE LAWRIE TATUM RD
LAWTON, OK
ZIP 73507-002
Phone: (580) 354-5500
Fax: (580) 354-5511

The NPI 1205254752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 3/26/2018.

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
1	163W00000X	Registered Nurse		92722	OKLAHOMA	No
2	163W00000X	Registered Nurse		85067	HAWAII	No
3	363LP0200X	Nurse Practitioner	Pediatrics	2275	HAWAII	Yes

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: 11/14/2023

NPI Synchronization or Removal

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