Individual
ANN MILLS LILLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 255-2431
Mailing address
161 FAR COUNTRY DR, DANIELS, WV 25832-9006
(304) 763-2378
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27996
WV
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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