IndividualActive
Jeanette Rivera
NPI 1740308808 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · South Burlington, VT
Provider details
- NPI number
- 1740308808
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 0420014168 (VT)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 0420014168 (VT)
Allopathic & Osteopathic Physicians
Practice location
1775 Williston Rd Ste 110
South Burlington, VT 05403-6491
Phone: (877) 698-8496
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250
Shelburne, VT 05482-0250
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2019-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.