Individual provider · Type 1 NPI

Kristi Illis, RN

Addiction (Substance Use Disorder) Registered Nurse · Ann Arbor, MI

NPI number 1356746127 Active

Practice location

522 S Maple Rd
Ann Arbor, MI 48103-3837

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X4704252014 (MI)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1356746127

Kristi Illis, RN's National Provider Identifier is 1356746127, issued on Oct 23, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 23, 2014.