Individual provider · Type 1 NPI

Mary E. Lilly

Emergency Registered Nurse · Phoenix, AZ

NPI number 1780748020 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1511 Map

Fax (602) 263-1619

Mailing address

PO Box 31001
Pasadena, CA 91110-0698

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse Primary	163WE0003X	RN073484 (AZ)

Emergency Registered Nurse: Definition to come...

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About NPI 1780748020

Mary E. Lilly's National Provider Identifier is 1780748020, issued on Dec 21, 2006. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.