| Holly K Willyard, CNP | |
|
605 West Taylor, Lovington, NM 88260 | |
| (575) 739-0062 | |
| (575) 396-1454 |
| Full Name | Holly K Willyard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 605 West Taylor, Lovington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386777878 | NPI | - | NPPES |
| 99177528 | Medicaid | NM | |
| 515063YNGG | Other | NM | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R26153 (New Mexico) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP00494 (New Mexico) | Primary |
| Entity Name | Nor-lea Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881630036 PECOS PAC ID: 2466364534 Enrollment ID: O20040228000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly K Willyard, CNP 1600 North Main, Lovington, NM 88260-2830 Ph: (575) 396-6611 | Holly K Willyard, CNP 605 West Taylor, Lovington, NM 88260 Ph: (575) 739-0062 |
Julia L Vana, ARNP, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 | |
Rocio Parra, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 617 W Avenue A, Lovington, NM 88260 Phone: 575-441-4444 | |
Rickey I Tabor, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-3529 Fax: 575-396-1454 | |
Cindy Zapien, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Jacqueline Nelson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Main Ave, Lovington, NM 88260 Phone: 575-396-6611 | |
Karen S Cummings, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 North Main, Lovington, NM 88260 Phone: 575-396-6611 Fax: 575-396-1454 |