Lilly, Amanda Nicole

Lilly, Amanda Nicole is an sole proprietor health care provider with primary practice located at 600 W 3Rd St , Mansfield OH 44906-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lilly, Amanda Nicole can be contacted via phone (419) 522-6191.

Contact Information

Primary practice address
600 W 3Rd St Mansfield OH 44906-2633
Phone: (419) 522-6191
Fax: (419) 525-6723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP17720 Ohio

Profile Details

NPI number 1003290206
LBN Legal business name Lilly, Amanda Nicole
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2015
Last updated May 14th, 2021 - about 4 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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