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

MS. Ilyssa Bain, PNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1588322770

MS. Ilyssa Bain, PNP-AC is a Pediatric Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 259452 (AZ)

Record details

NPI number1588322770
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-AC
Sole proprietorNo
NPI enumeratedDecember 4, 2021
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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