Individual
DANIELLE NICOLE LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2880 E SHEPHERD AVE APT 303, FRESNO, CA 93720-4172
(913) 680-8741
Mailing address
2880 E SHEPHERD AVE APT 303, FRESNO, CA 93720-4172
(913) 680-8741
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
921323
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2021
Last updated
01/16/2024
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