Basic Information
Provider Information
NPI: 1659977007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAPIT
FirstName: FAITH
MiddleName: SITEIYIA
NamePrefix:  
NameSuffix:  
Credential: PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 907
Address2:  
City: HOBBS
State: NM
PostalCode: 882410907
CountryCode: US
TelephoneNumber: 5753933168
FaxNumber:  
Practice Location
Address1: 920 W BROADWAY ST
Address2:  
City: HOBBS
State: NM
PostalCode: 882405529
CountryCode: US
TelephoneNumber: 5753933168
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/10/2020
LastUpdateDate: 02/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X61860NMY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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