Healthcare Provider Details

I. General information

NPI: 1417927260
Provider Name (Legal Business Name): TERESA MONTAMBO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US NAVAL HOSPITAL -NAPLES, ITALY GRECIAGNANO
NAPLES CAMPANIA
09617
IT

IV. Provider business mailing address

PSC 817 BOX 11
FPO AE
09622
IT

V. Phone/Fax

Practice location:
  • Phone: 81-629-6049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number0001150536
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: