Provider Demographics
NPI:1376252643
Name:RIOS CONTRERAS, SAIRA J (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SAIRA
Middle Name:J
Last Name:RIOS CONTRERAS
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 BONITAS LOOP
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-3633
Mailing Address - Country:US
Mailing Address - Phone:505-692-9662
Mailing Address - Fax:
Practice Address - Street 1:3020 BONITAS LOOP
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-3633
Practice Address - Country:US
Practice Address - Phone:505-692-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM55117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty