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CHARLES C DE LA RIVA JR. NP-C

NP-C

Nurse Practitioner

NPI: 1336726447IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

192810(AZ)261707(AZ)
Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

261707(AZ)
Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

261707(AZ)

Education

OTHER

Class of 2021

Contact & Hours

Address
202 E EARLL DR STE 360
PHOENIX, AZ 85012

Quick Facts

NPI
1336726447
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
5

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