Organization · Type 2 NPI

Bellaluna Lil Light Llc/dba Mountain Grit Wellness LLC

Clinic/Center · Mayhill, NM

NPI number 1336959667 Active

Practice location

3496 US Highway 82
Mayhill, NM 88339

Call (575) 687-4232 Map

Mailing address

PO Box 22
Mayhill, NM 88339-0022

Specialties and licenses

Taxonomy	Code	License
Infusion Therapy Registered Nurse	163WI0500X	None listed
Clinic/Center Primary	261Q00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

NPI record

NPI: 1336959667
Entity type: Organization (Type 2)
Issued: Jan 9, 2025
Last updated: Jan 9, 2025
Status: Active
Subpart: Yes of Bellaluna Lil Light Llc/ dba Mountain Grit Wellness LLC

Other names

Mountain Grit Wellness · doing business as

Authorized official

Sharlene E. Rogers, CNP
Owner/manager/provider
(575) 491-2310

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336959667

Bellaluna Lil Light Llc/dba Mountain Grit Wellness LLC's National Provider Identifier is 1336959667, issued on Jan 9, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mayhill, NM. The record was last updated on Jan 9, 2025.