MEDICARE: BRYANNA RIVERS RN

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	163WW0101X	Ambulatory Women's Health Care Registered Nurse	352712	NC

General Provider Information

NPI Number	:	1780527234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANNA RIVERS RN

Provider Business Mailing Address
First Line	:	5601 ARRINGDON PARK DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5676
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR STE 430
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:	919-997-3000
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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