Provider Demographics
NPI:1932958261
Name:KINNEY, ISABELLE COLETTE (RN, BSN, CCRN)
Entity type:Individual
Prefix:MRS
First Name:ISABELLE
Middle Name:COLETTE
Last Name:KINNEY
Suffix:
Gender:F
Credentials:RN, BSN, CCRN
Other - Prefix:
Other - First Name:ISABELLE
Other - Middle Name:
Other - Last Name:STREETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2039 HORNBECK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7095
Mailing Address - Country:US
Mailing Address - Phone:919-923-1402
Mailing Address - Fax:
Practice Address - Street 1:2039 HORNBECK CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7095
Practice Address - Country:US
Practice Address - Phone:919-923-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC329871163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine