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Individual

KIARA-BREIA LOUISE HICKS-LYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP, PMHNP-BC

Contact information

Practice address
7 E MARKET ST STE 103, YORK, PA 17401-1205
(717) 688-6568
Mailing address
6156 DEBORAH DR, SPRING GROVE, PA 17362-9200
(443) 813-2911

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC008008
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033650
PA

Other

Enumeration date
07/11/2025
Last updated
12/04/2025
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