Healthcare Provider Details

I. General information

NPI: 1700527868
Provider Name (Legal Business Name): DONA F RIVERA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E NEVADA HIGHWAY 372 STE 5
PAHRUMP NV
89048-2188
US

IV. Provider business mailing address

1360 E NEVADA HIGHWAY 372 STE 5
PAHRUMP NV
89048-2188
US

V. Phone/Fax

Practice location:
  • Phone: 775-990-1772
  • Fax: 888-571-6236
Mailing address:
  • Phone: 775-990-1772
  • Fax: 888-571-6236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number851842
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: