Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES C DE LA RIVA JR., NP-C
Active Sole ProprietorCHARLES C DE LA RIVA JR., NP-C is a Nurse Practitioner healthcare provider located in PHOENIX, Arizona. NPI 1336726447 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PHOENIX, AZ
Registration Details
- NPI Number
- 1336726447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2021 (5.3923765894155 yrs)
- Last Updated
- Sep 15, 2021
- Licenses
-
192810 (AZ)261707 (AZ)261707 (AZ)261707 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 E EARLL DR STE 360PHOENIX, AZ, 850122677Browse AZ providers · Browse ZIP 85012
- Phone
- 4807885621
- Fax
- 4807791277
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN B RICKARD | DNP, FNP-C | 1922003250 |
| MICHELE LYNN GOUGH | NP | 1093716995 |
| LISA DRUMMOND | NP | 1275525529 |
| JANET M FETT | ACNP | 1386637593 |
| JANET WALTERS | ANP | 1194718395 |
| LAURA ANN WESTFALL | FNP | 1144214412 |
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.