Itie, Samuel Basiaka

Itie, Samuel Basiaka is an individual health care provider with primary practice located at 712 W Hobbs St , Roswell NM 88203-3646. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Itie, Samuel Basiaka can be contacted via phone (575) 623-5263.

Contact Information

Primary practice address
712 W Hobbs St Roswell NM 88203-3646
Phone: (575) 623-5263
Fax: (575) 623-5286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP127554 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 69489 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 69489 New Mexico

Profile Details

NPI number 1952794687
LBN Legal business name Itie, Samuel Basiaka
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2015
Last updated Aug 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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