Individual
LILIA C SICARD-GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(867) 467-2000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP60730073
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9259060
FL
363LA2200X
Adult Health Nurse Practitioner
AP60730073
WA
363LA2200X
Adult Health Nurse Practitioner
APRN9259060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700330982
—
FL
05
—
1700330982
—
WA
Enumeration date
08/05/2016
Last updated
09/12/2024
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