IndividualActive
Elizabeth Riedel, PA-C
NPI 1891788253 · Medical Physician Assistant · Espanola, NM
Provider details
- NPI number
- 1891788253
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 77-PA007 (NM)
Practice location
1111 El Llano Rd
Espanola, NM 87532-6727
Phone: (505) 929-1629
Fax: (505) 753-5815
Mailing address
Po Box 158
Espanola, NM 87532-0158
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2013-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.