| Ms Whitney V Lilly, FNP-C | |
|
102 S. Euclid Ave., Suite 202, Sandpoint, ID 83864-4939 | |
| (208) 263-6876 | |
| (208) 263-2033 |
| Full Name | Ms Whitney V Lilly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 102 S. Euclid Ave., Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386153633 | NPI | - | NPPES |
| 200941379RN | Other | OR | OREGON STATE BOARD OF NURSING |
| 201708936NP-PP | Other | OR | OREGON STATE BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 201708936NP-PP (Oregon) | Primary |
| 363L00000X | Nurse Practitioner | 57882 (Idaho) | Secondary |
| Entity Name | Internal Medicine Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361988 PECOS PAC ID: 1759366818 Enrollment ID: O20040622001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Whitney V Lilly, FNP-C Po Box 550, Sandpoint, ID 83864-0550 Ph: (855) 397-0197 | Ms Whitney V Lilly, FNP-C 102 S. Euclid Ave., Suite 202, Sandpoint, ID 83864-4939 Ph: (208) 263-6876 |
Ms. Ann L Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Erin Bass, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214 | |
Kimberly Amelia Rutland, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-265-6252 Fax: 208-265-8214 | |
Tammy Lynn Undiemi, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Sixth Ave, Sandpoint, ID 83864 Phone: 208-263-3410 Fax: 208-255-4842 | |
Natasha M Splaine-talbott, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864 Phone: 304-276-9937 | |
Denise White, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864 Phone: 208-265-1046 Fax: 208-265-3756 | |
Anna Mena-schaures, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |