Individual provider · Type 1 NPI
Adaeze Ilo
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1134524317
Active
Practice location
2 N Central Ave
Phoenix, AZ 85004-2322
Mailing address
4053 Kyndra Cir
Richardson, TX 75082-2762
Other practice locations
- 5990 S Hospital Dr, Globe, AZ 85501-9462 · (928) 425-8151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 287006 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1075587 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1134524317
Adaeze Ilo's National Provider Identifier is 1134524317, issued on Oct 30, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 26, 2025.