person
Tatjana Ilich, NP
Primary Care Nurse Practitioner in Vista, California
NPI 1316627151

Tatjana Ilich is a Primary Care Nurse Practitioner based in Vista, CA and is specialized in Primary Care. Tatjana Ilich practices in Vista, CA and has the professional credentials of NP. The NPI Number for Tatjana Ilich is 1316627151 and holds a License No. 95165114 (California).

The current practice location address for Tatjana Ilich is 1185 Beverly Dr, Vista, CA and can be reached out via phone at 760-685-3306.

Location: 1185 Beverly Dr, Vista, CA, 92084-4705
person
Provider Profile Details
NPI Number
1316627151
Provider Name
Tatjana Ilich
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1185 Beverly Dr, Vista, CA, 92084-4705
Phone Number
760-685-3306
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1185 Beverly Dr
City
State
Zip
92084-4705
Phone Number
760-685-3306
Fax Number
person
Provider Business Mailing Address Details
Address
1185 Beverly Dr
City
State
Zip
92084-4705
Phone Number
760-685-3306
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
95026030 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95026030 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95165114 (California)
Definition
Definition to come...
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