Individual provider · Type 1 NPI
Patricia Sue Tillack, ANP
Adult Health Nurse Practitioner · Phoenix, AZ
NPI number
1861459042
Active
Practice location
9224 N 28th St
Phoenix, AZ 85028-4705
Fax (602) 795-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 186 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861459042
Patricia Sue Tillack, ANP's National Provider Identifier is 1861459042, issued on Apr 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 13, 2026.