NPI 1144490905

Stacie Lynne Rivers, MD

Practitioner Preferred Provider Organization Las Vegas, NV

Practice location

Address: 6795 Edmond St Suite 210, Las Vegas, NV 89118-3505
Phone: (702) 524-2928
Mailing address: PO Box 370549, Las Vegas, NV 89137-0549

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5243 (NV)

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1144490905
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2008
Record last updated: 8 Mar 2008

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.