Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN01799 | RI |
NPI | 1003312281 |
---|---|
Provider Name | Regina B Monteiro |
First Address | Cranston, RI 02910-1811 |
Second Address | East Providence, RI 02914-1432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2018 |
Last Update Date | 05/04/2018 |