Rivera, Maria Magdalena

Rivera, Maria Magdalena is an individual health care provider with primary practice located at 1 Parkland Dr Emergency Department, Derry NH 03038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rivera, Maria Magdalena can be contacted via phone (603) 432-1500.

Contact Information

Primary practice address
1 Parkland Dr Emergency Department Derry NH 03038
Phone: (603) 432-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102768 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1408 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0635 New Hampshire

Profile Details

NPI number 1063477453
LBN Legal business name Rivera, Maria Magdalena
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063477453 NPPES
Florida Other 214759 AMERIGROUP
Florida MEDICAID 30336586 AMERIGROUP
Florida Other P00774148 AMERIGROUP
Florida MEDICAID 292232100 AMERIGROUP

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