Healthcare Provider Details

I. General information

NPI: 1154544922
Provider Name (Legal Business Name): VALERIE H MONTEIRO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 IVY ST
PROVIDENCE RI
02906-2537
US

IV. Provider business mailing address

216 IVY ST
PROVIDENCE RI
02906-2537
US

V. Phone/Fax

Practice location:
  • Phone: 401-521-7624
  • Fax:
Mailing address:
  • Phone: 401-521-7624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN19183
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: