Individual
MRS. IRIS A MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN206927
MA
363LP2300X
Primary Care Nurse Practitioner
RN206927
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091560A
—
MA
Enumeration date
06/18/2008
Last updated
12/11/2023
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