Individual
EVELYN MONTALVO-STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 992-6888
Mailing address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 992-6888
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
14683
NV
2080P0214X
Pediatric Pulmonology Physician
25MA04841400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14683
LICENSE
NV
05
—
6106501
—
NJ
01
—
CS529657
CONTROL SUBSTANCE
NV
Enumeration date
07/10/2006
Last updated
01/27/2022
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