Individual
DARLA KIZIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-3664
Mailing address
209 W BROADWAY ST, STE 1, HOBBS, NM 88240-6068
(575) 393-3168
(575) 397-3664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R43640
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04070321
—
NM
01
—
NM006E93
BCBS
NM
Enumeration date
09/08/2006
Last updated
03/07/2016
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