Individual
KATRINA FONTANILLA DRISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8431
Mailing address
4208 MANTUA WAY, RALEIGH, NC 27604-3696
(919) 302-4912
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
239173
NC
376K00000X
Nurse's Aide
62906
NC
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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