Debora Lynn Rivera in Bay Shore - Licensed Practical Nurse
Debora Lynn Rivera - NPI 1063612489
Debora Lynn Rivera is a Licensed Practical Nurse in Bay Shore, New York. Debora Lynn Rivera practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Debora Lynn Rivera is 1063612489. The last update date is 2007-07-23.
Debora Lynn Rivera's current location address is 80 Walbridge Ave, Bay Shore, New York. You can contact this provider via phone number 6319684176. The mailing address for Debora Lynn Rivera is 80 Walbridge Ave, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debora Lynn Rivera |
|---|---|
| Address | 80 Walbridge Ave, Bay Shore, New York |
| Phone Number | 6319684176 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1063612489 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 80 Walbridge Ave |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117063054 |
| Phone Number | 6319684176 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 240236 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Debora Lynn Rivera by the Centers for Medicare & Medicaid Services?
The Debora Lynn Rivera has been issued the NPI (National Provider Identifier) 1063612489, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Debora Lynn Rivera?
The Debora Lynn Rivera is physically situated at 80 Walbridge Ave, in the city of Bay Shore, state of NY, with the postal code 117063054.
What is the Debora Lynn Rivera's specialty and taxonomy code?
The Debora Lynn Rivera's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Debora Lynn Rivera receive its 1063612489 assignment from the Centers for Medicare & Medicaid Services?
The Debora Lynn Rivera was assigned its 1063612489 by the Centers for Medicare & Medicaid Services on 2007-07-23.
As of what date was the information regarding Debora Lynn Rivera, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Debora Lynn Rivera, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-23.