LISA A RIVERA

SUFFOLK, VA
NPI1225200066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024167690)
Enumeration Date2008-04-01
Last Update Date2013-01-04
Business Address
-- LISA A RIVERA NP
1000 COMMERCIAL LN
SUFFOLK, VA 23434-8148
Phone number: 757-942-1025
Mailing Address
-- LISA A RIVERA NP
5268 GODWIN BLVD
SUFFOLK, VA 23434-8114
Phone number: 757-255-7117