Provider Demographics
NPI:1306198536
Name:RIVES, JOANNA MARIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:MARIE
Last Name:RIVES
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:SWEDISH NEUROSCIENCE INSTITUTE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:550 17TH AVE FL 5
Practice Address - Street 2:SWEDISH NEUROSCIENCE INSTITUTE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5788
Practice Address - Country:US
Practice Address - Phone:206-386-3880
Practice Address - Fax:206-386-3882
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2013-10-31
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Provider Licenses
StateLicense IDTaxonomies
WAAP60315078363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine