Bronson, Lillian
Bronson, Lillian is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Bronson, Lillian can be contacted via phone (928) 729-8000.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN93456 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | APRN002544 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APRN002544 | Nevada |
Profile Details
| NPI number | 1902337892 |
|---|---|
| LBN Legal business name | Bronson, Lillian |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Feb 3rd, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902337892 | NPPES |
| Other | 13984146 | CAQH | |
| MEDICAID | 1902337892 | CAQH |
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