Individual provider · NPI-1

Ilyn Cervantes, RN, CDOE

Registered Nurse, Diabetes Educator · Warwick, RI

NPI number1073615027
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1073615027
Entity type
Individual (NPI-1)
Name
Ilyn Cervantes
Credential
RN, CDOE
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator28576RIYes

Practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone 401-737-7010 · Fax 401-736-4212

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone 401-737-7010 · Fax 401-736-4212

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