Mrs Andrea Michelle Rivers, ANP | |
645 Preakness Ave, Wayne, NJ 07470-2533 | |
(973) 452-4674 | |
Not Available |
Full Name | Mrs Andrea Michelle Rivers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 645 Preakness Ave, Wayne, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881050458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 26NJ00600700 (New Jersey) | Primary |
Entity Name | Highlander Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871896910 PECOS PAC ID: 4385832328 Enrollment ID: O20101217000375 |
Mailing Address | Practice Location Address |
---|---|
Mrs Andrea Michelle Rivers, ANP 645 Preakness Ave, Wayne, NJ 07470-2533 Ph: (973) 452-4674 | Mrs Andrea Michelle Rivers, ANP 645 Preakness Ave, Wayne, NJ 07470-2533 Ph: (973) 452-4674 |
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