Lita C Bailly, FNP

NPI #1306856166 in Grants, New Mexico

Provider Information

NPI Number
1306856166
Entity Type
Individual
Name
Lita C Bailly, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Aug 8, 2006
Last Updated
Oct 27, 2011

Practice Location

Address
1217 BONITA ST
City
Grants
ZIP Code
87020-2103
Phone
(505) 287-2950

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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