MEDICARE: ALLISON MONTIEL

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	163W00000X	Registered Nurse	R080357	AR

General Provider Information

NPI Number	:	1528992054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MONTIEL

Provider Business Mailing Address
First Line	:	922 S 24TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4153
Country	:	US
Telephone Number	:	832-549-0977
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 N 7TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-2018
Country	:	US
Telephone Number	:	479-431-8695
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ ALLISON MONTIEL ” Practice Location

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