STACY RIVARA

MORRIS, IL
NPI1265988505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014436)
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
Mrs. STACY RIVARA FNP-BC
150 W HIGH ST
MORRIS, IL 60450-1463
Phone number: 815-942-2932
Mailing Address
Mrs. STACY RIVARA FNP-BC
201 N. OSCEOLA ST.
MINOOKA, IL 60447
Phone number: 815-603-8916
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