LIFTED CLINICAL PRACTICE PLLC NPI 1447797758

NPI Information

  • NPI: 1447797758
  • Provider Name: LIFTED CLINICAL PRACTICE, PLLC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 2801 RODEO RD STE C14
    SANTA FE, NM
    ZIP 87507
  • Phone: (505) 430-0760

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NPI Details

LIFTED CLINICAL PRACTICE, PLLC is a community health clinic center in Santa Fe, NM. LIFTED CLINICAL PRACTICE, PLLC NPI is 1447797758. The provider is registered as an organization entity type.

The provider's business location address is:

2801 RODEO RD STE C14
SANTA FE, NM
ZIP 87507-503
Phone: (505) 430-0760
Fax: (866) 354-3833

The provider's authorized official is Funmilayo Aina .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (505) 430-0760.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthAP123182TEXASNo
2261QC1500XClinic/CenterCommunity Health688447TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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