Healthcare Provider Details

I. General information

NPI: 1528580529
Provider Name (Legal Business Name): MOLLIE RIEFF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 OLD PECOS TRL STE N
SANTA FE NM
87505-4706
US

IV. Provider business mailing address

1751 CALLE MEDICO STE N
SANTA FE NM
87505-4706
US

V. Phone/Fax

Practice location:
  • Phone: 505-983-0405
  • Fax: 505-983-6818
Mailing address:
  • Phone: 505-983-0405
  • Fax: 505-983-6818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberCNP-02597
License Number StateNM

VIII. Authorized Official

Name: MOLLIE FLINT RIEFF
Title or Position: OWNER/NURSE PRACTITIONER
Credential: DNP, WHNP-BC, MPH
Phone: 505-983-0405