DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TATJANA ILICH, NP

Active

TATJANA ILICH, NP is a Primary Care Nurse Practitioner healthcare provider located in VISTA, California. NPI 1316627151 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · VISTA, CA

Registration Details

NPI Number
1316627151
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2023 (3.0397102982903 yrs)
Last Updated
Feb 5, 2026
Licenses
95026030 (CA)
95026030 (CA)
95165114 (CA)

Practice Information

Address
1964 VIA CTR
VISTA, CA, 920816056
Browse CA providers · Browse ZIP 92081
Phone
8887437526
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Medical-Surgical Nurse

Other Primary Care Nurse Practitioner Providers in VISTA, CA

Name Credential NPI
CAROLYN KAY BUTLER 1801889506
NICHOLAS D KAHL CNP 1821306598
MADELINE R PRICE NP 1740804095
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.