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General NPI Number Information
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NPI Number | 1174473425
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Entity Type | Individual
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Provider Name | MONICA RIVERA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 151 S OAK AVE STE 5
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City | SAN LUIS
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State | AZ
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Zip | 85336-0756
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Country | US
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Telephone | 928-662-0416
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Fax | 928-662-0408
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Provider Business Mailing Address
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Address Line | PO BOX 617
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City | SOMERTON
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State | AZ
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Zip | 85350-0617
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Country | US
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Telephone | 928-662-0406
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Fax | 928-662-0407
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 234110
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License Number State | AZ
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