LILLY KAYA KYARTHWYN GREEN

PECOS, NM
NPI1972280816
Professional NameLILLY KAYA KYARTHWYN GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  61512)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM  61512)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-03
Last Update Date2024-10-22
Business Address
Ms. LILLY KAYA KYARTHWYN GREEN CNP
199 HIGHWAY 50
PECOS, NM 87552
Phone number: 505-913-1470
Mailing Address
Ms. LILLY KAYA KYARTHWYN GREEN CNP
9519 TANOAN DR NE
ALBUQUERQUE, NM 87111-5836
Phone number: 505-913-1470