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Search › Pennsylvania › Psychiatric/Mental Health Nurse Practitioner

Jon Alvin Riego De Dios Modesto, RN

NPI 1295235984 · on the registry since 2018 · sole proprietor

Practice

Address
746 Avenue D
Danville, PA 17821
Phone
(928) 209-4048

Additional practice sites

  • 308 E 2nd St, Bloomsburg, PA
  • 1083 Bloom Rd, Danville, PA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163W00000X
163W00000X
163WE0003X
163W00000X
163W00000X
163W00000X
Licence states on file
CA, PA, NM, MA, TX, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania