Lilly, Breanna Nicole

Lilly, Breanna Nicole is an individual health care provider with primary practice located at 99 Tavern Rd , Martinsburg WV 25401-2890. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lilly, Breanna Nicole can be contacted via phone (304) 263-4999.

Contact Information

Primary practice address
99 Tavern Rd Martinsburg WV 25401-2890
Phone: (304) 263-4999
Fax: (304) 263-0984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AC004114 Maryland

Profile Details

NPI number 1659024347
LBN Legal business name Lilly, Breanna Nicole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2022
Last updated Aug 19th, 2022 - about 3 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 1659024347 NPPES
West Virginia Other 93424 WV BOARD OF NURSING

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