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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL BASIAKA ITIE, FNP-C

Active

SAMUEL BASIAKA ITIE, FNP-C is a Family Nurse Practitioner healthcare provider located in ROSWELL, New Mexico. NPI 1952794687 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ROSWELL, NM

Registration Details

NPI Number
1952794687
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2015 (11.261839293224 yrs)
Last Updated
Aug 18, 2025
Licenses
AP127554 (TX)
69489 (NM)
69489 (NM)

Practice Information

Address
712 W HOBBS ST
ROSWELL, NM, 882033646
Browse NM providers · Browse ZIP 88203
Phone
5756235263
Fax
5756235286
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in ROSWELL, NM

Name Credential NPI
MRS. CAROL EDWARDS HOLLAND CFNP 1962478412
MRS. ANNETTE M AGUILAR CNP CFNP 1538127980
CYDNEY ROLLER N.P. 1235188558
SEYED-HASSAN NAZIRPOUR-CALOOR CNP 1124070255
JULIA I JONES CNP 1508900473
STEPHEN KENT JANWAY FNP-C 1356537906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.