Healthcare Provider Details

I. General information

NPI: 1427987445
Provider Name (Legal Business Name): RICKIE ESLICK RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S 2ND ST
TUCUMCARI NM
88401-2858
US

IV. Provider business mailing address

PO BOX 472
LOGAN NM
88426-0472
US

V. Phone/Fax

Practice location:
  • Phone: 575-288-9862
  • Fax: 575-244-9580
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR67288
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: