Provider Demographics
NPI:1992103279
Name:OBIEFUNA, LILIAN I (FNP)
Entity type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:I
Last Name:OBIEFUNA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CAPITAL FUNDS CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3937
Mailing Address - Country:US
Mailing Address - Phone:615-361-6713
Mailing Address - Fax:615-369-8085
Practice Address - Street 1:1001 CAPITAL FUNDS CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3937
Practice Address - Country:US
Practice Address - Phone:615-361-6713
Practice Address - Fax:615-369-8085
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily