Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN2268860 | MA |
NPI | 1073977591 |
---|---|
Provider Name | Megan Monteiro |
First Address | New Milford, CT 06776-2444 |
Second Address | New Milford, CT 06776-2444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 11/01/2019 |