Search › Illinois › 363L00000X
Michael Rivera, FNP
NPI 1427043132 · on the registry since 2005
Practice
- Address
- 1110 Mulliken St
Carlyle, IL 62231 - Phone
- (618) 594-3613
- Fax
- (888) 859-4347
- Organisation at this address
- Rivera Medical, Llc
Rivera Medical, Llc
Rivera Medical Office, Llc
Rivera Medical Office, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-17
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 Illinois