Provider Demographics
NPI:1326433269
Name:RIEFF, MOLLIE FLINT (DNP, WHNP, MPH)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:FLINT
Last Name:RIEFF
Suffix:
Gender:F
Credentials:DNP, WHNP, MPH
Other - Prefix:
Other - First Name:MOLLIE
Other - Middle Name:MERIE
Other - Last Name:FLINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1751 OLD PECOS TRL STE N
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4706
Mailing Address - Country:US
Mailing Address - Phone:505-983-0405
Mailing Address - Fax:505-983-6818
Practice Address - Street 1:1751 OLD PECOS TRL STE N
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4706
Practice Address - Country:US
Practice Address - Phone:505-983-0405
Practice Address - Fax:505-983-6818
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02597363LW0102X
DCRN1036376363LW0102X
NYF421196-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health