Individual
DR. FUNMILAYO AINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP
Contact information
Practice address
PECOS VALLEY MEDICAL CENTER, 199 HWY 50, PECOS, NM 87552
(505) 757-6482
Mailing address
PECOS VALLEY MEDICAL CENTER, 199 HWY 50, PECOS, NM 87552
(505) 757-6482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688447
TX
363LF0000X
Family Nurse Practitioner
55817
NM
363LF0000X
Family Nurse Practitioner
AP123182
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
55817
NM
363LP2300X
Primary Care Nurse Practitioner
688447
TX
363LP2300X
Primary Care Nurse Practitioner
AP123182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341049006
—
TX
05
—
45827036
—
NM
Enumeration date
03/27/2013
Last updated
01/24/2022
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