Individual provider · Type 1 NPI
Lily Namanworth, CPNP-PC
Pediatric Nurse Practitioner · Monroe, NY
NPI number
1487367066
Active
Practice location
49 Forest Rd
Monroe, NY 10950-2923
Mailing address
3671 Hudson Manor Ter Apt 6AB
Bronx, NY 10463-1137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 383034 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487367066
Lily Namanworth, CPNP-PC's National Provider Identifier is 1487367066, issued on Dec 28, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Monroe, NY. The record was last updated on Dec 28, 2022.