| Breanna Nicole Lilly, CNM | |
|
99 Tavern Rd, Martinsburg, WV 25401-2890 | |
| (304) 263-4999 | |
| (304) 263-0984 |
| Full Name | Breanna Nicole Lilly |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 99 Tavern Rd, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659024347 | NPI | - | NPPES |
| 93424 | Other | WV | WV BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AC004114 (Maryland) | Primary |
| Entity Name | Shenandoah Valley Medical System Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1083617823 PECOS PAC ID: 9739093097 Enrollment ID: O20031119000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Nicole Lilly, CNM 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 Ph: (301) 414-2300 | Breanna Nicole Lilly, CNM 99 Tavern Rd, Martinsburg, WV 25401-2890 Ph: (304) 263-4999 |
Tracy L Swalm, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-264-2066 | |
April Marshall, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 Fax: 304-263-0984 | |
Carol L Decker, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-0984 | |
Anna Elaine Kent, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 184 Lutz Ave, Martinsburg, WV 25404 Phone: 304-207-0507 Fax: 304-398-8824 | |
Mrs. Danielle Lynn Isbell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 Fax: 505-722-1765 | |
Sabrina Austin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 Fax: 304-263-0984 | |
Glenda Leanne Kay, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 Fax: 304-264-0788 |