Nicole Rivera, | |
50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | |
(901) 287-6060 | |
(901) 287-5102 |
Full Name | Nicole Rivera |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 50 N Dunlap St Fl 2, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083261242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 225167 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26495 (Tennessee) | Primary |
Entity Name | Pediatric Anesthesiologists P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720087802 PECOS PAC ID: 0941109482 Enrollment ID: O20040826000464 |
Mailing Address | Practice Location Address |
---|---|
Nicole Rivera, 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 Ph: (901) 287-6060 | Nicole Rivera, 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 Ph: (901) 287-6060 |
Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872 | |
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846 | |
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893 | |
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 | |
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454 | |
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014 | |
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827 |