MEDICARE: ANALUISA RIVERA

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	374J00000X	Doula

General Provider Information

NPI Number	:	1659142164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANALUISA RIVERA

Provider Business Mailing Address
First Line	:	6615 W COOLIDGE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-1607
Country	:	US
Telephone Number	:	602-491-5786
Fax Number	:

Provider Business Practice Location Address
First Line	:	6615 W COOLIDGE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-1607
Country	:	US
Telephone Number	:	602-449-1578
Fax Number	:

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

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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Directions to “ ANALUISA RIVERA ” Practice Location

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