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Individual
HOLLY LYLES
Active
Individual
HOLLY LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
074710-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
074710-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020000589
ANCC
NH
Enumeration date
11/14/2019
Last updated
11/12/2024
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