Willyard, Holly K
Willyard, Holly K is an individual health care provider with primary practice located at 605 West Taylor , Lovington NM 88260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willyard, Holly K can be contacted via phone (575) 739-0062.Contact Information
Primary practice address
605 West Taylor
Lovington NM 88260
Phone: (575) 739-0062
Fax: (575) 396-1454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R26153 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP00494 | New Mexico |
Profile Details
| NPI number | 1386777878 |
|---|---|
| LBN Legal business name | Willyard, Holly K |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 17th, 2017 - about 9 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386777878 | NPPES |
| New Mexico | MEDICAID | 99177528 | |
| New Mexico | Other | 515063YNGG |
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