Individual
VANESSA L. MONTILEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 430, SPRINGFIELD, MO 65807-7304
(417) 890-4100
(417) 888-5617
Mailing address
PO BOX 504274, SAINT LOUIS, MO 63150-4274
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
079224
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
02/12/2013
Last updated
02/12/2013
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