Organization
BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC
Active
Organization
BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC
Active
Parent organization
BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC
Other names
Mountain Grit Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC
Authorized official
SHARLENE E. ROGERS CNP (OWNER/MANAGER/PROVIDER)
(575) 491-2310
Entity
Organization
Contact information
Practice address
3496 US HIGHWAY 82, MAYHILL, NM 88339
(575) 687-4232
Mailing address
PO BOX 22, MAYHILL, NM 88339-0022
(575) 491-2310
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up