Individual
ANNE MARIE LILLYBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10705 TOWN SQUARE DR NE, STE 100, BLAINE, MN 55449-8184
(763) 236-5400
Mailing address
4457 118TH AVE NE, BLAINE, MN 55449-5857
(763) 228-3549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R174346-3
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP 4008
MN
Other
Enumeration date
08/17/2015
Last updated
03/11/2021
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