Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Rivas

Individual provider Licensed Practical Nurse · NPI 1578856324

Nicole Rivas is a Licensed Practical Nurse in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

107 Villas Dr
Medford, NY 11763-2136
Phone: (631) 742-8305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302709 (NY)

Record details

NPI number1578856324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESMay 25, 2011
Mailing address107 Villas Dr, Medford, NY 11763-2136

Other providers in Medford