Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aja Baillie, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609751403

Aja Baillie, FNP-C is a Nurse Practitioner in Kingman, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5236 N Valle Dorado
Kingman, AZ 86409-1689
Phone: (928) 727-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 281349 (AZ)

Record details

NPI number1609751403
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 11, 2025
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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