Individual
BEVERLY ANNE MONTALVO
Active
Individual
BEVERLY ANNE MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010115
NC
363LF0000X
Family Nurse Practitioner
Primary
5010115
NC
Other
Enumeration date
06/27/2007
Last updated
09/28/2021
Update your record
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