Provider Demographics
NPI:1780308635
Name:DIMONTE, SILVANO JR (RN)
Entity type:Individual
Prefix:MR
First Name:SILVANO
Middle Name:
Last Name:DIMONTE
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 D ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2165
Mailing Address - Country:US
Mailing Address - Phone:908-346-3046
Mailing Address - Fax:
Practice Address - Street 1:915 D ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2165
Practice Address - Country:US
Practice Address - Phone:908-346-3046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001287123163WP0808X
DCRN1052050163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health