Provider Demographics
NPI:1760295562
Name:RIVERS, GEORGIANA
Entity type:Individual
Prefix:
First Name:GEORGIANA
Middle Name:
Last Name:RIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27000 BISHOP PARK DR APT A209
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2915
Mailing Address - Country:US
Mailing Address - Phone:216-870-9403
Mailing Address - Fax:
Practice Address - Street 1:27000 BISHOP PARK DR APT A209
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-2915
Practice Address - Country:US
Practice Address - Phone:216-870-9403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty