Individual provider · Type 1 NPI

Lily Indrawati, CRNP

Family Nurse Practitioner · Scranton, PA

NPI number 1932865417 Active

Practice location

746 Jefferson Ave
Scranton, PA 18510-1624

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP024210 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1932865417

Lily Indrawati, CRNP's National Provider Identifier is 1932865417, issued on Nov 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scranton, PA. The record was last updated on Nov 9, 2021.