Provider Demographics
NPI:1518266576
Name:RIECHES, BETH ELAINE (APN)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ELAINE
Last Name:RIECHES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 DEMOSS ST.
Mailing Address - Street 2:
Mailing Address - City:LORDSBURG
Mailing Address - State:NM
Mailing Address - Zip Code:88045
Mailing Address - Country:US
Mailing Address - Phone:575-542-8384
Mailing Address - Fax:575-313-8235
Practice Address - Street 1:2748-B HWY 35N
Practice Address - Street 2:
Practice Address - City:MIMBRES
Practice Address - State:NM
Practice Address - Zip Code:88049
Practice Address - Country:US
Practice Address - Phone:575-536-3990
Practice Address - Fax:575-536-3991
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007918363LF0000X
VA0024184369363LF0000X
NM71465363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily