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Individual

MARIA M ILARDI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 MAINE ST, STE A, LAWRENCE, KS 66044-1368
(785) 843-9192
(785) 843-6744
Mailing address
1311 WAKARUSA DR, STE 2117, LAWRENCE, KS 66049-4775
(785) 843-9192
(785) 843-6744

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74626
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097940A
KS
Enumeration date
01/30/2006
Last updated
09/05/2019
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