Individual
ELIZA LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PMHNP
Contact information
Practice address
306 W MAIN ST STE 512, FRANKFORT, KY 40601-1840
(574) 546-1900
(574) 546-1999
Mailing address
7137 HILLIARD CIR, ALVATON, KY 42122-8503
(270) 302-5782
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
34498
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4005515
KY
Other
Enumeration date
06/07/2023
Last updated
10/03/2023
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