Healthcare Provider Details

I. General information

NPI: 1295116515
Provider Name (Legal Business Name): AMBER DAWN RIVARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS AMBER DAWN NAVARRA

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 LONG RAPIDS RD
ALPENA MI
49707-1315
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-2000
US

V. Phone/Fax

Practice location:
  • Phone: 989-354-2142
  • Fax: 989-354-8600
Mailing address:
  • Phone: 844-832-1956
  • Fax: 989-633-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704312732
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: