MRS. ANTONETTE MONTALVO CRNP - PC
NPI 1790115251
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Mrs. Antonette Montalvo Crnp - Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANTONETTE MONTALVO CRNP - PC (NPI 1790115251) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013412) and active in the NPI registry since November 2013.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19140
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antonette Montalvo's NPI number?
The NPI number for Antonette Montalvo is 1790115251. It was assigned to this individual provider in the NPPES registry on November 20, 2013. The provider is also known as Ms. Antonette Shaw Crnp-Pc.
Where is Antonette Montalvo located?
Antonette Montalvo practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3600.
What is Antonette Montalvo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Antonette Montalvo was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Antonette Montalvo, CRNP - PC · NPI 1790115251
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 20, 2013.
## Identity
- **NPI:** 1790115251 (Entity type: Individual)
- **Enumerated:** November 20, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP013412 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4417 N 6TH ST, Philadelphia, PA 19140-2319
- **Phone:** (215) 302-3600
## Record status
- **NPPES last updated:** August 27, 2015
- **Other identifiers:** Medicaid 1029044300001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790115251) · Data from the CMS NPPES public registry.