Ilich, Tatjana

Ilich, Tatjana is an individual health care provider with primary practice located at 1185 Beverly Dr , Vista CA 92084-4705. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ilich, Tatjana can be contacted via phone (760) 685-3306.

Contact Information

Primary practice address
1185 Beverly Dr Vista CA 92084-4705
Phone: (760) 685-3306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 95165114 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95026030 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95026030 California

Profile Details

NPI number 1316627151
LBN Legal business name Ilich, Tatjana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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