Individual
MELISSA R LILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP4366
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP011112
PA
Other
Enumeration date
01/14/2011
Last updated
11/04/2015
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