Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILBEN ANDY LARIVIERE, PA
ActiveWILBEN ANDY LARIVIERE, PA is a Medical Physician Assistant healthcare provider located in MESA, Arizona. NPI 1154076933 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MESA, AZ
Registration Details
- NPI Number
- 1154076933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2022 (4.4958509057207 yrs)
- Last Updated
- Sep 11, 2025
- License
-
1212-P.A. (PR)
Practice Information
- Address
-
2045 S VINEYARD STE 119MESA, AZ, 852106890Browse AZ providers · Browse ZIP 85210
- Phone
- 4803004646
- Fax
- 4803004646
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| TRACY E NORRIS | P.A.-C. | 1629050042 |
| MRS. MARTI E NEAVE KHOURY | PA-C | 1144206277 |
| MR. JASON S COLLIER | PA-C | 1689650715 |
| MR. JAMES A HARRIS | PA-C | 1538145370 |
| MS. DANIELLE LYNN KEMPTON | PAC | 1558348961 |
| JEFFERY DEWARD SMITH | PA | 1083691109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.