Provider Demographics
NPI:1710649355
Name:MITTON, LILIAN PARREIRAS (APRN, NNP-BC)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:PARREIRAS
Last Name:MITTON
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:
Other - First Name:LILIAN
Other - Middle Name:GOMES
Other - Last Name:PARREIRAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:118 COCOPLUM CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4734
Mailing Address - Country:US
Mailing Address - Phone:973-580-2600
Mailing Address - Fax:
Practice Address - Street 1:118 COCOPLUM CIR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4734
Practice Address - Country:US
Practice Address - Phone:973-580-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015731363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal