MEDICARE: ANGELA DAWN MONTEROSSO APRN, EDD.

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9177309	FL

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	:	1558358556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA DAWN MONTEROSSO APRN, EDD.

Provider Business Mailing Address
First Line	:	3880 22ND AVE SE
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-9250
Country	:	US
Telephone Number	:	239-293-3421
Fax Number	:

Provider Business Practice Location Address
First Line	:	12590 WHITEHALL DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4680
Country	:	US
Telephone Number	:	239-939-9090
Fax Number	:

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	09/30/2024

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