TATJANA ILICH, NP

Nurse Practitioner - Primary Care

Active Individual
NPI: 1316627151

Practice Address

1964 VIA CTR
Vista, CA 92081

Phone: (888) 743-7526

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes 95026030 (CA)
Nurse Practitioner - Family 363LF0000X No 95026030 (CA)
Registered Nurse - Medical-Surgical 163WM0705X No 95165114 (CA)

Frequently Asked Questions

NPI 1316627151 is the National Provider Identifier for TATJANA ILICH, NP, a Nurse Practitioner - Primary Care provider located in Vista, CA. This NPI was enumerated on July 18, 2023.
TATJANA ILICH, NP practices at 1964 VIA CTR, Vista, CA 92081.

Quick Facts

NPI
1316627151
Type
Individual
Enumerated
Jul 18, 2023
Last Updated
Feb 5, 2026

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