Individual
STEPHANIE NICHOLE PEREZ-MONTELONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 633-0908
Mailing address
519 HARVEST GLEN DR, RICHARDSON, TX 75081-5606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143895
TX
363LF0000X
Family Nurse Practitioner
AP143895
TX
Other
Enumeration date
01/25/2020
Last updated
02/14/2023
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