Provider Demographics
NPI:1427855501
Name:PINILLA, LILIANA BUSSIN (NBC-HWC, FDNP)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:BUSSIN
Last Name:PINILLA
Suffix:
Gender:
Credentials:NBC-HWC, FDNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 WATCHUNG BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2755
Mailing Address - Country:US
Mailing Address - Phone:908-499-0270
Mailing Address - Fax:
Practice Address - Street 1:53 WATCHUNG BLVD
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2755
Practice Address - Country:US
Practice Address - Phone:908-499-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach