Individual provider · Type 1 NPI
Guinevere Zimmerman Lillie, NP
Family Nurse Practitioner · Fairfax, VA
NPI number
1639704786
Active
Practice location
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001271747 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024179561 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639704786
Guinevere Zimmerman Lillie, NP's National Provider Identifier is 1639704786, issued on Mar 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on May 6, 2022.