Individual
LILLIAN BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN93456
NV
363LW0102X
Women's Health Nurse Practitioner
APRN002544
NV
367A00000X
Advanced Practice Midwife
Primary
APRN002544
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13984146
CAQH
—
05
—
1902337892
—
NV
Enumeration date
03/23/2017
Last updated
02/03/2026
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