Individual
LILY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1387 GRAN VISTA AVE, HENDERSON, NV 89012-4825
(725) 272-0851
Mailing address
1387 GRAN VISTA AVE, HENDERSON, NV 89012-4825
(725) 272-0851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66657
HI
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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