Dickens, Lilly Katherine

Dickens, Lilly Katherine is an individual health care provider with primary practice located at 4663 Scotts Valley Dr , Scotts Valley CA 95066-4202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Dickens, Lilly Katherine can be contacted via phone (831) 458-6330.

Contact Information

Primary practice address
4663 Scotts Valley Dr Scotts Valley CA 95066-4202
Phone: (831) 458-6330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95204741 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95024318 California

Profile Details

NPI number 1184269516
LBN Legal business name Dickens, Lilly Katherine
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2019
Last updated Jun 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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