Erica Rightsell

Individual provider Active NPI Nurse's Aide · Moriarty, NM

NPI 1740673821 · NPPES record last updated Mar 12, 2015

Key facts

NPI
1740673821
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
NM0181580914E (NM)
Practice address
22 Shane Dr
Moriarty, NM 87035-5247
Phone
(505) 331-0119
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NM0181580914ENMMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NM0181580914E NM Yes

Addresses

Primary practice location

22 Shane Dr
Moriarty, NM 87035-5247

Mailing address

PO Box 328
Edgewood, NM 87015-0328
Phone (505) 331-0119

Other providers in Moriarty, NM

All providers in Moriarty, NM · Nurse's Aide in New Mexico

Sources for this page

Verify at the official NPI Registry.