Individual
SAMUEL BASIAKA ITIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
712 W HOBBS ST, ROSWELL, NM 88203-3646
(575) 623-5263
(575) 623-5286
Mailing address
712 W HOBBS ST, ROSWELL, NM 88203-3646
(575) 623-5263
(575) 623-5286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69489
NM
363LF0000X
Family Nurse Practitioner
AP127554
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
69489
NM
Other
Enumeration date
03/05/2015
Last updated
08/18/2025
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