Provider Demographics
NPI:1174690259
Name:WIERBONICS, LILI (APRN)
Entity type:Individual
Prefix:MS
First Name:LILI
Middle Name:
Last Name:WIERBONICS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-7171
Mailing Address - Fax:603-433-5931
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-436-7171
Practice Address - Fax:603-433-5931
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH053156-21163W00000X
NH053156-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse