Provider Demographics
NPI:1275230674
Name:RIVADENEIRA, ANELIZE (APRN)
Entity type:Individual
Prefix:
First Name:ANELIZE
Middle Name:
Last Name:RIVADENEIRA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANELIZE
Other - Middle Name:
Other - Last Name:WESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:7800 66TH ST N STE 204
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2101
Mailing Address - Country:US
Mailing Address - Phone:727-753-7787
Mailing Address - Fax:833-471-3023
Practice Address - Street 1:7800 66TH ST N STE 204
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2101
Practice Address - Country:US
Practice Address - Phone:727-753-7787
Practice Address - Fax:833-471-3023
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024470363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology