Individual provider · Type 1 NPI
Marie Ilse, FNP
Family Nurse Practitioner · Cleveland, OH
NPI number
1871921676
Active
Practice location
90500 Euclid Avenue
Cleveland, OH 44195-2055
Mailing address
22500 Shelburne Rd
Shaker Heights, OH 44122-2055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP127950 (TX) |
| Family Nurse Practitioner | 363LF0000X | 18537 (SC) |
| Family Nurse Practitioner | 363LF0000X | 9469719 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 0030457 (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871921676
Marie Ilse, FNP's National Provider Identifier is 1871921676, issued on Oct 15, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 16, 2022.