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Contact Information

HOLLY K WILLYARD, CNP
605 WEST TAYLOR
LOVINGTON, NM88260
 Phone: 575-739-0062
 Fax: 575-396-1454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLLY K WILLYARD · (Female)

NPI Number 1386777878
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/13/2007
Last updated 08/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP00494
  • NM License # R26153
  • NM Medicaid 99177528
  • NM Other 515063YNGG PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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