Fotiadis, Lilly Esther
Fotiadis, Lilly Esther is an individual health care provider with primary practice located at 9826 Hixson Pike , Soddy Daisy TN 37379-3517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fotiadis, Lilly Esther can be contacted via phone (423) 847-6451.Contact Information
Primary practice address
9826 Hixson Pike
Soddy Daisy TN 37379-3517
Phone: (423) 847-6451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9237126 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11234 | Tennessee |
Profile Details
| NPI number | 1144250077 |
|---|---|
| LBN Legal business name | Fotiadis, Lilly Esther |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 25th, 2013 - about 13 years 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 | 1144250077 | NPPES |
| Florida | MEDICAID | 308421300 | |
| Florida | Other | F0705179 |
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