Search › Virginia › 363A00000X
Glen Rivera, PA-C
NPI 1316052111 · on the registry since 2006
Practice
- Address
- 108 Houston St Ste E
Lexington, VA 24450 - Phone
- (540) 463-2227
- Organisation at this address
- Lexington Internists
Stonewall Pediatrics
Daniel E. Shybunko, Phd., P.C.
Carilion Rockbridge Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X
363AM0700X - Licence states on file
- MD, NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia