Individual
MISS ISABELLE VICTORIA NILERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(401) 777-7000
Mailing address
27 STONELEIGH RD, TRUMBULL, CT 06611-3316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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