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

TaxonomyCodeLicense
Registered Nurse 163W00000XR44024 (CT)
Gerontology Nurse Practitioner Primary 363LG0600X000513 (CT)

Gerontology Nurse Practitioner: Definition to come...

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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.