Provider Demographics
NPI:1336510346
Name:LILL, SHEILA (MSN, APN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:LILL
Suffix:
Gender:F
Credentials:MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 TILTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1233
Mailing Address - Country:US
Mailing Address - Phone:609-822-7979
Mailing Address - Fax:609-822-7980
Practice Address - Street 1:802 TILTON RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1233
Practice Address - Country:US
Practice Address - Phone:609-822-7979
Practice Address - Fax:609-822-7980
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00597600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner