Individual
MS. LILLIAN M CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,FNP-CS
Contact information
Practice address
128 ARGUS LN STE G, MOORESVILLE, NC 28117-6973
(704) 660-4362
(704) 663-0442
Mailing address
128 ARGUS LN STE G, MOORESVILLE, NC 28117-6973
(704) 660-4362
(704) 663-0442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
291149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000497747001
BSNENY
NY
05
—
02184701
—
NY
01
—
070327000103
FIDELIS
NY
01
—
200312
SENIOR WHOLE HEALTH
NY
01
—
356359
MVP HEALTHCARE
NY
01
—
77645
GHI/HMO
NY
Enumeration date
08/31/2006
Last updated
01/17/2018
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