Fotiadis, Lilly Esther

Fotiadis, Lilly Esther is an individual health care provider with primary practice located at 9826 Hixson Pike , Soddy Daisy TN 37379-3517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fotiadis, Lilly Esther can be contacted via phone (423) 847-6451.

Contact Information

Primary practice address
9826 Hixson Pike Soddy Daisy TN 37379-3517
Phone: (423) 847-6451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9237126 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11234 Tennessee

Profile Details

NPI number 1144250077
LBN Legal business name Fotiadis, Lilly Esther
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 25th, 2013 - about 11 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1144250077 NPPES
Florida MEDICAID 308421300
Florida Other F0705179

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