person
Mr. Mark Lewis Illeman, FNP
Family Nurse Practitioner in San Francisco, California
NPI 1548388861

Mark Lewis Illeman is a Family Nurse Practitioner based in San Francisco, CA and is specialized in Family. Mark Lewis Illeman practices in San Francisco, CA and has the professional credentials of FNP. The NPI Number for Mark Lewis Illeman is 1548388861 and holds a License No. 2005 (California).

The current practice location address for Mark Lewis Illeman is 2300 California St, San Francisco, CA and can be reached out via phone at 415-202-1550 and via fax at 415-776-8233.

Location: 2300 California St, San Francisco, CA, 94115-2753
person
Provider Profile Details
NPI Number
1548388861
Provider Name
Mark Lewis Illeman
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2300 California St, San Francisco, CA, 94115-2753
Phone Number
415-202-1550
Fax Number
415-776-8233
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2005 01 CA NPF
institution
Provider Business Practice Location Address Details
Address
2300 California St
City
State
Zip
94115-2753
Phone Number
415-202-1550
Fax Number
415-776-8233
person
Provider Business Mailing Address Details
Address
2300 California St
City
State
Zip
94115-2753
Phone Number
415-202-1550
Fax Number
415-776-8233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2005 (California)
Definition
Definition to come...
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