person
Lita C Bailly, FNP
Family Nurse Practitioner in Grants, New Mexico
NPI 1306856166

Lita C Bailly is a Family Nurse Practitioner based in Grants, NM and is specialized in Family. Lita C Bailly practices in Grants, NM and has the professional credentials of FNP. The NPI Number for Lita C Bailly is 1306856166 and holds a License No. R029543 (New Mexico).

The current practice location address for Lita C Bailly is 1217 Bonita St, Grants, NM and can be reached out via phone at 505-287-2950 and via fax at 505-287-2403. You can also correspond with Lita C Bailly through the mailing address at 1217 BONITA ST, GRANTS, NM - 87020-2103 (mailing address contact number: 505-287-2950).

Location: 1217 Bonita St, Grants, NM, 87020-2103
person
Provider Profile Details
NPI Number
1306856166
Provider Name
Lita C Bailly
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1217 Bonita St, Grants, NM, 87020-2103
Phone Number
505-287-2950
Fax Number
505-287-2403
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
335260099 05 ME
institution
Provider Business Practice Location Address Details
Address
1217 Bonita St
City
State
Zip
87020-2103
Phone Number
505-287-2950
Fax Number
505-287-2403
person
Provider Business Mailing Address Details
Address
1217 Bonita St
City
State
Zip
87020-2103
Phone Number
505-287-2950
Fax Number
505-287-2403
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R029543 (Maine)
Definition
Definition to come...
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