Most Relevant Information
Provider Data
| NPI Number: | 1003325721 |
| Provider Name: | DESIREE RIVAS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN1007693 |
Most Important Dates
| Enumeration Date: | 09/26/2017 |
| Last Updated: | 09/26/2017 |
Provider Practice Location
220 I ST NE
WASHINGTON
DC
20002
Practice Location Phone/Fax
| Phone: | 7038672503 |
| Fax: |
Provider Mailing Location
3977 FAIRFAX SQ
FAIRFAX
VA
22031
Provider Mailing Phone/Fax
| Phone: | 7038672503 |
| Fax: |