# ANDREA LILLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912362518
- **Gender:** F
- **Credential:** MS, RN, CDCES

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | 21420118 | NY | — |
| 133NN1002X | Nutrition Education Nutritionist | 21420118 | NY | Yes |
| 163W00000X | Registered Nurse | 514219 | NY | — |
| 163WD0400X | Diabetes Educator Registered Nurse | 21420118 | NY | — |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 10/03/2026