Rivera, Wanda
Rivera, Wanda is an individual health care provider with primary practice located at 3600 Lake Bayshore Dr Unit 502 , Bradenton FL 34205-9050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rivera, Wanda can be contacted via phone (941) 727-9359.Contact Information
Primary practice address
3600 Lake Bayshore Dr Unit 502
Bradenton FL 34205-9050
Phone: (941) 727-9359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9102476 | Florida |
Profile Details
| NPI number | 1548463516 |
|---|---|
| LBN Legal business name | Rivera, Wanda |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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