NPI 1235797408

Octavia Rivers, CNA

Practitioner Nurse's Aide Savannah, GA

Practice location

Address: 2204 Tennessee Ave, Savannah, GA 31404-3118
Phone: (912) 436-2397

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0028869795 (GA)

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Registry record

NPI: 1235797408
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2019
Record last updated: 3 Jun 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.