Individual provider · Type 1 NPI
Russell William Lilly, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Freemansburg, PA
NPI number
1639824063
Active
Practice location
832 Kossuth St
Freemansburg, PA 18017-7117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP02014 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1639824063
Russell William Lilly, PMHNP's National Provider Identifier is 1639824063, issued on Feb 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Freemansburg, PA. The record was last updated on Apr 30, 2024.