Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adaeze Ilo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134524317

Adaeze Ilo is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Arizona and Texas.

Years since qualifying
7
Licensed in
AZ, TX
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2 N Central Ave
Phoenix, AZ 85004-2322
Phone: (951) 545-1482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5990 S Hospital Dr, Globe, AZ 85501-9462 — (928) 425-8151

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 287006 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1075587 (TX)

Record details

NPI number1134524317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2014
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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