Amy L Lilly Valid NPI

Individual provider · Pediatric Nurse Practitioner · Plymouth, MI

NPI

1508375544

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

4704285512 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2017-09-21

Last updated

2018-11-07