Individual
AUDRA BETH LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4900 E KENTUCKY AVE, DENVER, CO 80246-2365
(303) 756-0101
Mailing address
7389 W GRANT RANCH BLVD APT 1422, LITTLETON, CO 80123-2671
(214) 789-4855
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0997726
CO
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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