HAROLETTA MARIE LILLY RNC WHNP NPI 1770636946

NPI Information

NPI: 1770636946
Provider Name: HAROLETTA MARIE LILLY, RNC WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
G3371 BEECHER RD
FLINT, MI
ZIP 48532
Phone: (810) 238-3631
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Haroletta Marie Lilly, RNC WHNP is a women's health nurse practitioner in Flint, MI. Haroletta Marie Lilly, RNC WHNP NPI is 1770636946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

G3371 BEECHER RD
FLINT, MI
ZIP 48532-621
Phone: (810) 238-3631
Fax: (810) 238-3631

The NPI 1770636946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	4704169927	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5008753530	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	S39105	MEDICARE UPIN	MICHIGAN
3	M37240007	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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