Provider Demographics
NPI:1205531027
Name:RIVERA, SHARLENE J (RMA)
Entity type:Individual
Prefix:
First Name:SHARLENE
Middle Name:J
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 WIMBLEDON WAY
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-5521
Mailing Address - Country:US
Mailing Address - Phone:856-885-0743
Mailing Address - Fax:
Practice Address - Street 1:2006 WIMBLEDON WAY
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-5521
Practice Address - Country:US
Practice Address - Phone:856-885-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula