MEDICARE: MS. MONICA MONTUFAR CNM

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	367A00000X	Advanced Practice Midwife	CNM 1513	CA
2	367A00000X	Advanced Practice Midwife	AP6539	AZ

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	:	1003927336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA MONTUFAR CNM

Provider Business Mailing Address
First Line	:	PO BOX 617
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-0617
Country	:	US
Telephone Number	:	928-315-7910
Fax Number	:	928-722-6113

Provider Business Practice Location Address
First Line	:	151 S OAK AVE STE 3
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85336-0756
Country	:	US
Telephone Number	:	928-662-0412
Fax Number	:	928-662-0411

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/13/2024

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