Doctor Name: | SYLVIA ANNE RIFE |
NPI Number: | 1245292242 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 15702A |
Business Practice Address: | 42121 Us Hwy 70 Portales, NM - 881309347 |
Business Phone Number: | 5753566652 |
Business Fax Number: | 5752260099 |
Mailing Address: | Po Box 299, PORTALES |
State: | NM |
Postal Code: | 881309347 |
Phone Number: | 5753566652 |
Fax Number: | 5752260099 |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 15702A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |