Individual provider · Type 1 NPI

Anna Iliasova

Family Nurse Practitioner · Columbia, SC

NPI number 1689226557 Active

Practice location

400 Palmetto Health Pkwy
Columbia, SC 29212-1760

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X22826 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1689226557

Anna Iliasova's National Provider Identifier is 1689226557, issued on Jul 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Jul 15, 2019.