Individual
LILIETH J INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 PACIFIC AVE STE C6, TACOMA, WA 98402-4393
(557) 229-7008
Mailing address
8195 BELVEDERE RD, APT. 201, WEST PALM BEACH, FL 33411-6235
(609) 332-1542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9398858
FL
363LF0000X
Family Nurse Practitioner
Primary
AP60886780
WA
Other
Enumeration date
02/10/2015
Last updated
10/04/2022
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