NPI 1003468158

Laura Lynn Rivera, CRNA

Practitioner Certified Registered Nurse Anesthetist Detroit, MI

Practice location

Address: 2799 W Grand Blvd, Detroit, MI 48202-2608
Phone: (313) 916-2600
Mailing address: 2139 Oaknoll St, Auburn Hills, MI 48326-3126

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704272781 (MI)

Other Nurse Anesthetist, Certified Registered providers in Michigan →

Registry record

NPI: 1003468158
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2019
Record last updated: 9 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.