Individual
DR. MICHELLE ILIESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323-2422
(602) 230-7373
Mailing address
235 W WESTERN AVE, AVONDALE, AZ 85323-1848
(623) 244-2960
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
292946
AZ
Other
Enumeration date
06/07/2023
Last updated
11/18/2024
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