Individual provider · Type 1 NPI
Lily Tiao
Acute Care Nurse Practitioner · Moreno Valley, CA
NPI number
1922477306
Active
Practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
211 W Rincon St Unit 208
Corona, CA 92880-2061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95002983 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1922477306
Lily Tiao's National Provider Identifier is 1922477306, issued on Sep 16, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 16, 2015.