Mckayla Ann Lively, APRN-CNP

NPI #1093538852 in Twin Falls, Idaho

Provider Information

NPI Number
1093538852
Entity Type
Individual
Name
Mckayla Ann Lively, APRN-CNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
APRN-CNP
Enumeration Date
Oct 31, 2024
Last Updated
Jan 7, 2025

Practice Location

Address
775 POLE LINE RD W STE 203
State
Idaho
ZIP Code
83301-5820
Phone
(208) 814-8300

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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