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Individual
STEFANIE TAMARA MONTALVO
Active
Individual
STEFANIE TAMARA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
990961
TX
363LF0000X
Family Nurse Practitioner
Primary
1140666
TX
363LP2300X
Primary Care Nurse Practitioner
1140666
TX
Other
Enumeration date
03/30/2020
Last updated
01/02/2024
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