Individual
AJA BAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5236 N VALLE DORADO, KINGMAN, AZ 86409-1689
(928) 727-0106
Mailing address
5236 N VALLE DORADO, KINGMAN, AZ 86409-1689
(928) 727-0106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
281349
AZ
Other
Enumeration date
08/11/2025
Last updated
04/06/2026
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