Individual
MRS. MICHELLE MUTTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7387 WOOSTER CT, MENTOR, OH 44060-5260
(440) 975-0290
Mailing address
7387 WOOSTER CT, MENTOR, OH 44060-5260
(440) 975-0290
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN 30579
OH
163WH0200X
Home Health Registered Nurse
RN 30579
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 30579
OH
Other
Enumeration date
04/23/2010
Last updated
07/17/2023
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