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Contact Information

ANDREA A RILEY, CNP
530 DEMOSS STREET
LORDSBURG, NM88045-2618
 Phone: 575-542-8384
 Fax: 575-542-8387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANDREA A RILEY · (Female)

NPI Number 1881873388
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 10/31/2007
Last updated 04/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # LD0681
  • NM License # R62680
  • WA License # AP60134099
  • NM Medicaid 81775768
Hospital affiliation(s)
  • ISLAND HOSPITAL - (Acute Care)
    1211 24TH STREET
    ANACORTES, WA 98221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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