Marianne Illustre
Marianne Illustre is a Physician Assistant in Peoria, Arizona. Practices as a sole proprietor. Licensed in Puerto Rico.
- Licensed in
- PR
- In the registry since
- 2025
Practice location Address checks out
14300 N 83rd Ave Apt 2013Peoria, AZ 85381-5606
Phone: (516) 725-7481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2788 (PR) |
|---|
Record details
| NPI number | 1679445738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2025 |
| Last updated in NPPES | September 19, 2025 |
| Certification date | September 18, 2025 |
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