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NPI Code Detail

MEDICARE: LYNDA RIVERS ARNP212206

MEDICARE: LYNDA RIVERS ARNP212206
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
1363LP2300XPrimary Care Nurse Practitioner9212206FL

General Provider Information

NPI Number : 1154839223
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDA RIVERS ARNP212206
Provider Business Mailing Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number : 561-964-1111
Fax Number :
Provider Business Practice Location Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number : 561-964-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 01/11/2018

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