Provider Demographics
NPI:1619518503
Name:MONTANI, DARLENE (MSN APRN FNP-BC ONC)
Entity Type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:
Last Name:MONTANI
Suffix:
Gender:F
Credentials:MSN APRN FNP-BC ONC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4738 SOMERSET HILL LN
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3025
Mailing Address - Country:US
Mailing Address - Phone:508-685-3115
Mailing Address - Fax:
Practice Address - Street 1:38107 MARKET SQ
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7505
Practice Address - Country:US
Practice Address - Phone:813-979-0440
Practice Address - Fax:813-355-5054
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003425363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner