Provider Demographics
NPI:1659103455
Name:MONTELEONE, KRISTEN MARIA
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIA
Last Name:MONTELEONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 IOWA DR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4345
Mailing Address - Country:US
Mailing Address - Phone:954-415-0791
Mailing Address - Fax:
Practice Address - Street 1:2814 IOWA DR UNIT 104
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4345
Practice Address - Country:US
Practice Address - Phone:954-415-0791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program