Lifted Clinical Practice, Pllc
NPI #1447797758 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1447797758
- Entity Type
- Organization
- Organization Name
- Lifted Clinical Practice, Pllc
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jan 24, 2017
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 2801 RODEO RD STE C14
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507-6503
- Phone
- (505) 430-0760
Authorized Official
- Name
- DR. FUNMILAYO AINA, DNP,FNP-C
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (505) 430-0760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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