Individual provider · Type 1 NPI
Tatjana Ilich, NP
Primary Care Nurse Practitioner · Vista, CA
NPI number
1316627151
Active
Practice location
1964 Via Ctr
Vista, CA 92081-6056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95026030 (CA) |
| Family Nurse Practitioner | 363LF0000X | 95026030 (CA) |
| Medical-Surgical Registered Nurse | 163WM0705X | 95165114 (CA) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Vista
About NPI 1316627151
Tatjana Ilich, NP's National Provider Identifier is 1316627151, issued on Jul 18, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Vista, CA. The record was last updated on Feb 5, 2026.