Individual
AUBRYN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1575 S MAIN ST, FORT WORTH, TX 76104-4901
(817) 702-3431
Mailing address
3509 WEDGWAY DR, FORT WORTH, TX 76133-2132
(469) 215-9411
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1102582
TX
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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