Provider Demographics
NPI:1063885903
Name:RIEK, CARA J (DNP, FNP-BC, IBCLC)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:J
Last Name:RIEK
Suffix:
Gender:F
Credentials:DNP, FNP-BC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 E GREENWAY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1787
Mailing Address - Country:US
Mailing Address - Phone:480-208-1490
Mailing Address - Fax:480-447-8890
Practice Address - Street 1:7730 E GREENWAY RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1787
Practice Address - Country:US
Practice Address - Phone:480-208-1490
Practice Address - Fax:480-447-8890
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-31
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8745363LF0000X, 363LF0000X
AZRN168695163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant