MEDICARE: BRITTANY NICOLE RIVERA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	R222910	MD

General Provider Information

NPI Number	:	1861198392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY NICOLE RIVERA CRNP

Provider Business Mailing Address
First Line	:	PO BOX 23329
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3329
Country	:	US
Telephone Number	:
Fax Number	:	410-883-0876

Provider Business Practice Location Address
First Line	:	180 ADMIRAL COCHRANE DR STE 410
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-8405
Country	:	US
Telephone Number	:	410-263-5439
Fax Number	:	410-263-7482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	01/08/2026

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