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NPI Code Detail

MEDICARE: LILLY MARIE PROCHODA ARNP, DNP

MEDICARE: LILLY MARIE PROCHODA ARNP, DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse PractitionerAP70089942WA
2363L00000XNurse PractitionerRN61349409WA

General Provider Information

NPI Number : 1295622231
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLY MARIE PROCHODA ARNP, DNP
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-520-5700
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 03/02/2026

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