Individual provider · Type 1 NPI

Lita C. Bailly, FNP

Family Nurse Practitioner · Grants, NM

NPI number 1306856166 Active

Practice location

1217 Bonita St
Grants, NM 87020-2103

Fax (505) 287-2403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR029543 (ME)
Family Nurse Practitioner Primary 363LF0000XAP081328 (ME)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1306856166

Lita C. Bailly, FNP's National Provider Identifier is 1306856166, issued on Aug 8, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants, NM. The record was last updated on Oct 27, 2011.