Provider Demographics
NPI:1477713113
Name:MONTAPERTO, CHRISTOPHER J (ARNP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:MONTAPERTO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 CAMANO AVE
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9288
Mailing Address - Country:US
Mailing Address - Phone:425-903-1371
Mailing Address - Fax:
Practice Address - Street 1:828 2ND ST
Practice Address - Street 2:SUITE J
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1610
Practice Address - Country:US
Practice Address - Phone:425-903-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007333363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8880270Medicare PIN
WAG8880271Medicare PIN