Ada Catherine Montessoro, CRNP
Nurse Practitioner in Lutherville, MD. Individual provider (NPI-1).
NPI number1235207648
StatusActive
Last updated in NPPESDec 29, 2011
Details
- NPI
- 1235207648
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ada Catherine Montessoro
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Dec 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R127891 | MD | Yes |
Practice location
1447 York RdLutherville, MD 21093-6038
Phone 410-339-5500 · Fax 410-339-5620
Mailing address
2101 East Jefferson StreetPpqa Medicare Compliance Unit 6 West
Rockville, MD 20852
Phone 301-816-2424
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