Lilly, Whitney V

Lilly, Whitney V is an individual health care provider with primary practice located at 102 S. Euclid Ave. Suite 202, Sandpoint ID 83864-4939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lilly, Whitney V can be contacted via phone (208) 263-6876.

Contact Information

Primary practice address
102 S. Euclid Ave. Suite 202 Sandpoint ID 83864-4939
Phone: (208) 263-6876
Fax: (208) 263-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201708936NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 57882 Idaho

Profile Details

NPI number 1386153633
LBN Legal business name Lilly, Whitney V
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Aug 20th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386153633 NPPES
Oregon Other 200941379RN OREGON STATE BOARD OF NURSING
Oregon Other 201708936NP-PP OREGON STATE BOARD OF NURSING

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