(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003290206
Provider Name: AMANDA NICOLE LILLY CNP
Entity Type: Individual
Taxonomy Code: 363LF0000X
Specialty: Nurse Practitioner
License Number: NP17720
Most Important Dates
Enumeration Date: 07/17/2015
Last Updated: 05/14/2021
Provider Practice Location
600 W 3RD ST
MANSFIELD
OH
449062633
Practice Location Phone/Fax
Phone: 4195226191
Fax: 4195256723
Provider Mailing Location
600 W 3RD ST
MANSFIELD
OH
449062633
Provider Mailing Phone/Fax
Phone: 4195226191
Fax: 4195256723