Individual provider · Type 1 NPI
Matthew Elijah Ilao, FNP-C
Family Nurse Practitioner · East Ellijay, GA
NPI number
1255037701
Active
Practice location
433 Highland Pkwy
East Ellijay, GA 30540-7656
Mailing address
467 Arrowhead Dr
Dallas, GA 30132-9477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 286403 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255037701
Matthew Elijah Ilao, FNP-C's National Provider Identifier is 1255037701, issued on Feb 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Ellijay, GA. The record was last updated on Feb 6, 2023.