Provider Demographics
NPI:1417927260
Name:MONTAMBO, TERESA (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:MONTAMBO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 817 BOX 11
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09622
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL HOSPITAL -NAPLES, ITALY
Practice Address - Street 2:GRECIAGNANO
Practice Address - City:NAPLES
Practice Address - State:CAMPANIA
Practice Address - Zip Code:09617
Practice Address - Country:IT
Practice Address - Phone:081-629-6049
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001150536163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice