Provider Demographics
NPI:1477872992
Name:ILARDI PSYCHIATRIC SERVICES, LLC
Entity Type:Organization
Organization Name:ILARDI PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC CLINICAL NURSE SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILARDI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:785-312-9866
Mailing Address - Street 1:1311 WAKARUSA DR
Mailing Address - Street 2:SUITE 2117
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4798
Mailing Address - Country:US
Mailing Address - Phone:785-312-9866
Mailing Address - Fax:785-246-5747
Practice Address - Street 1:1311 WAKARUSA DR
Practice Address - Street 2:SUITE 2117
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4798
Practice Address - Country:US
Practice Address - Phone:785-312-9866
Practice Address - Fax:785-246-5747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty