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NPI Code Detail

MEDICARE: MS. NICOLE RIVERS NRCMA

MEDICARE:  MS. NICOLE  RIVERS  NRCMA
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1629219571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE RIVERS NRCMA
Provider Business Mailing Address
First Line : 2956 PIMA LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2656
Country : US
Telephone Number : 817-714-1609
Fax Number :
Provider Business Practice Location Address
First Line : 2956 PIMA LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-2656
Country : US
Telephone Number : 817-714-1609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 03/23/2009

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Directions to “ MS. NICOLE RIVERS NRCMA” Practice Location

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