Provider Demographics
NPI:1629465596
Name:ECHEVERRIA, MONTSERRAT (FNP)
Entity Type:Individual
Prefix:
First Name:MONTSERRAT
Middle Name:
Last Name:ECHEVERRIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 AUTUMN LEAF DR W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8493
Mailing Address - Country:US
Mailing Address - Phone:305-298-1167
Mailing Address - Fax:
Practice Address - Street 1:1945 AUTUMN LEAF DR W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8493
Practice Address - Country:US
Practice Address - Phone:305-298-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-18
Last Update Date:2015-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2011021718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily