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

Mrs. Kiersten Ilaoa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710549431

Mrs. Kiersten Ilaoa is a Student in an Organized Health Care Education/Training Program in Marlton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

765 Route 70 E
Marlton, NJ 08053-2341
Phone: (856) 983-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00952100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710549431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2019
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address765 Route 70 E, Marlton, NJ 08053-2341

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