Provider Demographics
NPI:1679977490
Name:MONTEIRO, AMANDA SILVA (APRN)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:SILVA
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N INTERSTATE 35 STE 100
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5142
Mailing Address - Country:US
Mailing Address - Phone:940-323-7961
Mailing Address - Fax:940-323-7969
Practice Address - Street 1:2900 N INTERSTATE 35 STE 100
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-323-7961
Practice Address - Fax:940-323-7969
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP129781363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology