| Doctor Name: | ANDREA ARTA RILEY |
| NPI Number: | 1881873388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | LD0681 |
| Business Practice Address: | 530 Demoss Street Lordsburg, NM - 880452618 |
| Business Phone Number: | 5755428384 |
| Business Fax Number: | 5755428387 |
| Mailing Address: | 530 Demoss Street, LORDSBURG |
| State: | NM |
| Postal Code: | 88045 |
| Phone Number: | 5755428384 |
| Fax Number: | 5755428387 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 11/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | LD0681 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |