Doctor Name: | MARIA M ILARDI |
NPI Number: | 1023089018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 74626 |
Business Practice Address: | 200 Maine St Ste A Lawrence, KS - 660441368 |
Business Phone Number: | 7858439192 |
Business Fax Number: | 7858436744 |
Mailing Address: | 200 Maine St, Ste A LAWRENCE |
State: | KS |
Postal Code: | 660441368 |
Phone Number: | 7858439192 |
Fax Number: | 7858436744 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 74626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |