Most Relevant Information
Provider Data
| NPI Number: | 1003415233 |
| Provider Name: | ISLANDE MITIL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 272495 |
Most Important Dates
| Enumeration Date: | 10/19/2020 |
| Last Updated: | 10/19/2020 |
Provider Practice Location
2435 LYNN RD STE 106B
RALEIGH
NC
276126757
Practice Location Phone/Fax
| Phone: | 9842420224 |
| Fax: |
Provider Mailing Location
2435 LYNN RD STE 106B
RALEIGH
NC
276126757
Provider Mailing Phone/Fax
| Phone: | 9842420224 |
| Fax: |