NPI 1053946459

Jean Piere Rivera Nieves, PA

Practitioner Medical Physician Assistant Bonney Lake, WA

Practice location

Address: 10004 204th Ave E, Bonney Lake, WA 98391-6539
Phone: (253) 848-5951
Mailing address: 2904 4th Ave NE, Puyallup, WA 98372-7053

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA61031699 (WA)

Other Physician Assistant providers in Washington →

Registry record

NPI: 1053946459
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2020
Record last updated: 13 Feb 2025

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.