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NPI Code Detail

MEDICARE: AMINTA MONBOE CRNP-ACUTE CARE

MEDICARE:   AMINTA  MONBOE  CRNP-ACUTE CARE
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
1363LA2100XAcute Care Nurse PractitionerR232064MD
2363LG0600XGerontology Nurse PractitionerSP035059PA

General Provider Information

NPI Number : 1417788001
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMINTA MONBOE CRNP-ACUTE CARE
Provider Business Mailing Address
First Line : 700 HIDDEN STREAM CT
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-9491
Country : US
Telephone Number : 443-853-0969
Fax Number :
Provider Business Practice Location Address
First Line : 700 HIDDEN STREAM CT
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-9491
Country : US
Telephone Number : 443-853-0969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 06/02/2026

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Directions to “ AMINTA MONBOE CRNP-ACUTE CARE” Practice Location

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