Individual
MARIANNA ILACHTCHOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
5030 BRUNSON DR, CORAL GABLES, FL 33146-2412
(916) 832-1632
Mailing address
3050 VIRGINIA ST, MIAMI, FL 33133-4524
(916) 832-1632
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1169676
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11042394
FL
Other
Enumeration date
11/26/2012
Last updated
02/10/2026
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