MEDICARE: LILIAN PARREIRAS MITTON APRN, NNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0000X	Neonatal Nurse Practitioner	11015731	FL
2	363LN0005X	Critical Care Neonatal Nurse Practitioner	11015731	FL

General Provider Information

NPI Number	:	1710649355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAN PARREIRAS MITTON APRN, NNP-BC

Provider Business Mailing Address
First Line	:	118 COCOPLUM CIR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4734
Country	:	US
Telephone Number	:	973-580-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 COCOPLUM CIR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4734
Country	:	US
Telephone Number	:	973-580-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2021
Last Update Date	:	10/11/2021

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