Individual
DR. REBECCAH SUSANNE LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMH-DNP
Contact information
Practice address
1608 5TH ST NW, ALBUQUERQUE, NM 87102-1302
(312) 882-0432
Mailing address
1608 5TH ST NW, ALBUQUERQUE, NM 87102-1302
(312) 882-0432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56563
NM
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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