Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prof. Mary L Lilly, PHDRNMSMSN

Individual provider Adult Health Nurse Practitioner · NPI 1821221920

Prof. Mary L Lilly, PHDRNMSMSN is an Adult Health Nurse Practitioner in San Diego, California. Licensed in Arizona, Indiana and Texas. Registered with an NPI since 2009.

Licensed in
AZ, IN, TX
In the registry since
2009
Specialties on file
3

Practice location Address checks out

4715 Viewridge Ave
San Diego, CA 92123-1658
Phone: (800) 257-8715
Fax: (800) 819-1655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0809X · Licence 760860 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN169742 (AZ)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 70000096A (IN)

Record details

NPI number1821221920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDRNMSMSN
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESJune 2, 2017

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