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Mrs. Kiersten Ilaoa
Psychiatric/Mental Health Nurse Practitioner in Marlton, New Jersey
NPI 1710549431

Kiersten Ilaoa is a Psychiatric/Mental Health Nurse Practitioner based in Marlton, NJ and is specialized in Psychiatric/Mental Health. Kiersten Ilaoa practices in Marlton, NJ. The NPI Number for Kiersten Ilaoa is 1710549431 and holds a License No. (New Jersey).

The current practice location address for Kiersten Ilaoa is 765 Route 70 E, Marlton, NJ and can be reached out via phone at 856-983-3900.

Location: 765 Route 70 E, Marlton, NJ, 08053-2341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710549431
Provider Name
Kiersten Ilaoa
Credential
Provider Entity Type
Individual
Gender
Female
Address
765 Route 70 E, Marlton, NJ, 08053-2341
Phone Number
856-983-3900
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
765 Route 70 E
City
Marlton
State
New Jersey
Zip
08053-2341
Phone Number
856-983-3900
Fax Number
person
Provider Business Mailing Address Details
Address
765 Route 70 E
City
Marlton
State
New Jersey
Zip
08053-2341
Phone Number
856-983-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ00952100 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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