MEDICARE: MRS. ANNETTE MONTES-LOPEZ ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9204995	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194145581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNETTE MONTES-LOPEZ ARNP

Provider Business Mailing Address
First Line	:	4631 N CONGRESS AVE STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3234
Country	:	US
Telephone Number	:	561-530-1725
Fax Number	:	561-863-5576

Provider Business Practice Location Address
First Line	:	4631 N CONGRESS AVE STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3234
Country	:	US
Telephone Number	:	561-530-1725
Fax Number	:	561-863-5576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	01/31/2022

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Directions to “ MRS. ANNETTE MONTES-LOPEZ ARNP” Practice Location

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