Healthcare Provider Details

I. General information

NPI: 1225841745
Provider Name (Legal Business Name): DEVIYANA RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

IV. Provider business mailing address

278 BURTS PIT RD
FLORENCE MA
01062-3603
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-1314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2388367
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: