Provider Demographics
NPI:1487834446
Name:BIGGS, LILLI A (RN, MSN, CPNP)
Entity Type:Individual
Prefix:
First Name:LILLI
Middle Name:A
Last Name:BIGGS
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E GAY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-1931
Mailing Address - Country:US
Mailing Address - Phone:660-747-1111
Mailing Address - Fax:660-747-1112
Practice Address - Street 1:510 E GAY ST
Practice Address - Street 2:SUITE A
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1931
Practice Address - Country:US
Practice Address - Phone:660-747-1111
Practice Address - Fax:660-747-1112
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO138428363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics