Individual
DARREN DEVERA MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP95012422
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP95012422
CA
Other
Enumeration date
09/13/2019
Last updated
01/23/2024
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