ILYSSA BAIN

PHOENIX, AZ
NPI1588322770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  259452)
Enumeration Date2021-12-04
Last Update Date2024-02-22
Business Address
Ms. ILYSSA BAIN PNP-AC
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1900
Mailing Address
Ms. ILYSSA BAIN PNP-AC
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-7761
Phone number: 602-933-1813
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