National Provider Identifier
Bethany Lyn Lilly, NP
Bethany Lyn Lilly, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 262-9150.
Profile Overview
- NPI
- 1891460481
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 16, 2021
- Last Updated
- July 07, 2023
Practice Location
- 160 Sawgrass Dr
- Rochester, NY 14620-4656
Phone: (585) 262-9150
Mailing Address
- 318 Embury RD
- Rochester, NY 14625-1150
Specialties
- Family Nurse Practitioner (363LF0000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1891460481
- Entity Type
- Individual
- Last Name
- Lilly
- First Name
- Bethany
- Middle Name
- Lyn
- Credential
- NP
- Mailing Street Address
- 318 Embury RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-1150
- Mailing Country
- US
- Mailing Phone
- (585) 410-2736
- Practice Street Address
- 160 Sawgrass Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4656
- Practice Country
- US
- Practice Phone
- (585) 262-9150
- Enumeration Date
- August 16, 2021
- Last Updated
- July 07, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 16, 2021
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Internal Medicine Physician (207R00000X)