Individual
MRS. SHELLY MONTANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5706 GROVE AVE STE 201, RICHMOND, VA 23226-2346
(804) 325-4795
Mailing address
7605 FOREST AVE, STE 100, HENRICO, VA 23229-7625
(804) 928-6632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0017144062
VA
363L00000X
Nurse Practitioner
Primary
0024174983
VA
Other
Enumeration date
01/03/2017
Last updated
03/20/2019
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