Healthcare Provider Details

I. General information

NPI: 1316885965
Provider Name (Legal Business Name): LEAH M SCHLIERF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 S RIO GRANDE AVE
AZTEC NM
87410-2260
US

IV. Provider business mailing address

604 S RIO GRANDE AVE
AZTEC NM
87410-2260
US

V. Phone/Fax

Practice location:
  • Phone: 505-334-2664
  • Fax: 505-334-7759
Mailing address:
  • Phone: 505-334-2664
  • Fax: 505-334-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75833
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: