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

Kristi Illis, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1356746127

Kristi Illis, RN is an Addiction (Substance Use Disorder) Registered Nurse in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

522 S Maple Rd
Ann Arbor, MI 48103-3837
Phone: (734) 585-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 4704252014 (MI)

Record details

NPI number1356746127
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014

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