MEDICARE: AIMEE MARIN RIVAS

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
1	363LF0000X	Family Nurse Practitioner	AP145460	TX
2	363LF0000X	Family Nurse Practitioner	F343381	NY

General Provider Information

NPI Number	:	1437632338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE MARIN RIVAS

Provider Business Mailing Address
First Line	:	1512 TEASLEY LN
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7282
Country	:	US
Telephone Number	:	940-442-5209
Fax Number	:	940-222-2720

Provider Business Practice Location Address
First Line	:	5401 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2212
Country	:	US
Telephone Number	:	214-513-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2018
Last Update Date	:	12/15/2025

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