Individual
BIANCA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(610) 337-3232
Mailing address
100 LENNOX CT, LANSDALE, PA 19446-6378
(203) 217-3507
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN710420
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP025732
PA
Other
Enumeration date
03/28/2022
Last updated
05/13/2022
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