NPI 1083205421

Teisha Nichole Rivera

Practitioner Peer Specialist Provo, UT

Practice location

Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: (801) 373-4760

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1083205421
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2021
Record last updated: 28 Jan 2021

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.