Individual
ANDREA ARTA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8387
Mailing address
1213 24TH ST, STE 100, ANACORTES, WA 98221-2595
(575) 542-8384
(575) 542-8387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R62680
NM
163WD0400X
Diabetes Educator Registered Nurse
LD0681
NM
363L00000X
Nurse Practitioner
Primary
AP60134099
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81775768
—
NM
Enumeration date
10/31/2007
Last updated
04/30/2020
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