Individual provider · Type 1 NPI
Mary D. Lilley
Gerontology Nurse Practitioner · West Haven, CT
NPI number
1699739979
Active
Practice location
950 Campbell Ave
West Haven, CT 06516-2770
Fax (203) 937-3457
Mailing address
95 Maplevale Dr
Woodbridge, CT 06525-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R44024 (CT) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 000513 (CT) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in West Haven
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- Sajini M. Roy, AGPCNPGerontology Nurse Practitioner West Haven, CT NPI 1427689660
- Sarah Columbia Matteson, APRNGerontology Nurse Practitioner West Haven, CT NPI 1811631583
About NPI 1699739979
Mary D. Lilley's National Provider Identifier is 1699739979, issued on Apr 14, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in West Haven, CT. The record was last updated on Jul 13, 2011.