Search › Arizona › 363A00000X
Marianne Illustre
NPI 1679445738 · on the registry since 2025 · sole proprietor
Practice
- Address
- 14300 N 83rd Ave Apt 2013
Peoria, AZ 85381 - Phone
- (516) 725-7481
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- PR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona