Individual
KIANY CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
310 ROCK ISLAND AVE, DALHART, TX 79022-2651
(806) 244-0136
Mailing address
1710 OAK AVE, DALHART, TX 79022-5014
(909) 346-5134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1003830
TX
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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