Healthcare Provider Details

I. General information

NPI: 1558873588
Provider Name (Legal Business Name): REBECCA ANN MONTEPARTE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA ANN WATT CRNP

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 05/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

IV. Provider business mailing address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

V. Phone/Fax

Practice location:
  • Phone: 724-523-2323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018051
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: