Individual
MRS. ANGELA RENAE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
430 BOXWOOD LN, PEARISBURG, VA 24134
(540) 921-6110
(540) 921-3796
Mailing address
430 BOXWOOD LN, PEARISBURG, VA 24134-1168
(540) 921-6110
(540) 921-3796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174082
VA
Other
Enumeration date
08/08/2011
Last updated
07/01/2021
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