National Provider Identifier
Larissa Rivera
Larissa Rivera is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 383-2216.
Profile Overview
- NPI
- 1134998883
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 21, 2023
- Last Updated
- December 21, 2023
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 383-2216
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1134998883
- Entity Type
- Individual
- Last Name
- Rivera
- First Name
- Larissa
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 383-2216
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 383-2216
- Enumeration Date
- December 21, 2023
- Last Updated
- December 21, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)