MCKAYLA ANN LIVELY

TWIN FALLS, ID
NPI1093538852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  9861073)
Enumeration Date2024-10-31
Last Update Date2024-10-31
Business Address
MCKAYLA ANN LIVELY APRN-CNP
775 POLE LINE RD W STE 203
TWIN FALLS, ID 83301-5820
Phone number: 208-814-8300
Mailing Address
MCKAYLA ANN LIVELY APRN-CNP
859 GRACE DR W
TWIN FALLS, ID 83301-3296
Phone number: 208-731-6067