Individual
MS. LILLY KAYA KYARTHWYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7704 2ND ST NW STE A, ALBUQUERQUE, NM 87107-6755
(505) 873-7400
Mailing address
9519 TANOAN DR NE, ALBUQUERQUE, NM 87111-5836
(505) 913-1470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61512
NM
Other
Enumeration date
07/03/2023
Last updated
05/14/2025
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