Healthcare Provider Details

I. General information

NPI: 1538025473
Provider Name (Legal Business Name): ANA MARIA MONTANA DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15221 SW 80TH ST APT 411
MIAMI FL
33193-1350
US

IV. Provider business mailing address

15221 SW 80TH ST APT 411
MIAMI FL
33193-1350
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-9579
  • Fax:
Mailing address:
  • Phone: 786-431-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044068
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: