Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL WILLIAM LILLY, PMHNP
ActiveMR. RUSSELL WILLIAM LILLY, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FREEMANSBURG, Pennsylvania. NPI 1639824063 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FREEMANSBURG, PA
Registration Details
- NPI Number
- 1639824063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2022 (4.5058821129639 yrs)
- Last Updated
- Apr 30, 2024
- License
-
SP02014 (PA)
Practice Information
- Address
-
832 KOSSUTH STFREEMANSBURG, PA, 180177117Browse PA providers · Browse ZIP 18017
- Phone
- 6107041479
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.