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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LILY INDRAWATI, CRNP

Active

LILY INDRAWATI, CRNP is a Family Nurse Practitioner healthcare provider located in SCRANTON, Pennsylvania. NPI 1932865417 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SCRANTON, PA

Registration Details

NPI Number
1932865417
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2021 (4.75523171328 yrs)
Last Updated
Nov 9, 2021
License
SP024210 (PA)

Practice Information

Address
746 JEFFERSON AVE
SCRANTON, PA, 185101624
Browse PA providers · Browse ZIP 18510
Phone
5707703000
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SCRANTON, PA

Name Credential NPI
MRS. CHARLENE ANN MARSICO CRNP 1598759086
MARY MULLEN-WALSH CRNP 1104811140
MRS. JO ANN LOUISE NICOTERI CRNP 1750377602
MICHELLE M ALDRICH CRNP 1609852011
DEBRA M JADICK CRNP 1215900121
MARY LAWHON TRIANO CRNP-C 1619929221
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.