| Doctor Name: | ANNE MARIE LILLEY |
| NPI Number: | 1043243470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, FNP |
| License Number: | ANP 372 |
| Business Practice Address: | 1275 Sadler Way #101 Fairbanks, AK - 997013171 |
| Business Phone Number: | 9073616370 |
| Business Fax Number: | 9073616372 |
| Mailing Address: | Po Box 82868, FAIRBANKS |
| State: | AK |
| Postal Code: | 997082868 |
| Phone Number: | 9074587115 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 08/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ANP 372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |