Individual
ILINA MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
CRNP
Contact information
Practice address
1801 N BROAD ST, PHILADELPHIA, PA 19122-6003
(215) 204-7000
Mailing address
1801 N BROAD ST, PHILADELPHIA, PA 19122-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP034238
PA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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