Provider Demographics
NPI:1518648781
Name:LYLES, NISHIKA Y
Entity Type:Individual
Prefix:MRS
First Name:NISHIKA
Middle Name:Y
Last Name:LYLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12414 ALMENDRA WAY
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-7989
Mailing Address - Country:US
Mailing Address - Phone:213-461-8203
Mailing Address - Fax:
Practice Address - Street 1:12414 ALMENDRA WAY
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-7989
Practice Address - Country:US
Practice Address - Phone:213-461-8203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula