Prof Mary L Lilly, PHD RN MS MSN - Clinical Nurse Specialist in San Diego, CA

Prof Mary L Lilly, PHD RN MS MSN is a Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in San Diego, California. Prof Mary L Lilly is licensed to practice in Texas (license number 760860) and her current practice location is 4715 Viewridge Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (800) 257-8715.

NPI number for Prof Mary L Lilly is 1821221920 and her current mailing address is 5001 North Piedras, El Paso, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821221920.

Contact Information

Prof Mary L Lilly, PHD RN MS MSN
4715 Viewridge Ave,
San Diego, CA 92123-1658
(800) 257-8715
(800) 819-1655

Map and Direction




Provider's Profile

Full NameProf Mary L Lilly
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Adult
Location4715 Viewridge Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821221920
  • Provider Enumeration Date: 08/24/2009
  • Last Update Date: 06/02/2017

Medical Identifiers

Medical identifiers for Prof Mary L Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821221920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN169742 (Arizona)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 70000096A (Indiana)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 760860 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Mary L Lilly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prof Mary L Lilly, PHD RN MS MSN
5001 North Piedras,
El Paso, TX 79930

Ph: (915) 564-6100
Prof Mary L Lilly, PHD RN MS MSN
4715 Viewridge Ave,
San Diego, CA 92123-1658

Ph: (800) 257-8715

Reviews and Comments


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