Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 0001989-C-NP | CO |
N | 363L00000X | Nurse Practitioner | AP130880 | TX |
Y | 363L00000X | Nurse Practitioner | CNP-02936 | NM |
N | 363L00000X | Nurse Practitioner | SP017468 | PA |
N | 363LA2100X | Nurse Practitioner - Acute Care | AP130880 | TX |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP130880 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP130880 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | AP130880 | TX |
NPI | 1073968913 |
---|---|
Provider Name | Wendy Rivera |
First Address | Las Cruces, NM 88001-3172 |
Second Address | Las Cruces, NM 88001-3172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2016 |
Last Update Date | 08/10/2021 |