STACY MARIE RIVERA AG-ACNP NPI 1417625187

NPI Information

Stacy Marie Rivera, AG-ACNP is an acute care nurse practitioner in San Diego, CA with 6 years of experience. Stacy Marie Rivera, AG-ACNP NPI is 1417625187. 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:

286 EUCLID AVE STE 110
SAN DIEGO, CA
ZIP 92114-611
Phone: (619) 416-3510
Fax: (619) 243-3216

The NPI 1417625187 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 8/30/2021 and was last updated on 8/30/2021.

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:

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