Amanda Nicole Lilly
Nurse Practitioner - Family Medicine
600 W 3rd St
Mansfield
, Ohio 44906-2633
Amanda Nicole Lilly
Nurse Practitioner - Family Medicine
600 W 3rd St
Mansfield
, Ohio 44906-2633
(419) 525-6723
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Amanda Nicole Lilly
- 600 W 3rd St
- Mansfield, OH
- Zip : 44906-2633
- Fax : (419) 525-6723
- Phone : (419) 522-6191
Second Address
- Amanda Nicole Lilly
- 600 W 3rd St
- Mansfield, OH
- Zip : 44906-2633
- Fax : (419) 525-6723
- Phone : (419) 522-6191
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP17720 | OH |
National Provider Identifier
| NPI | 1003290206 |
|---|---|
| Provider Name | Amanda Nicole Lilly |
| First Address | Mansfield, OH 44906-2633 |
| Second Address | Mansfield, OH 44906-2633 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2015 |
| Last Update Date | 14/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.