Provider Demographics
NPI:1184726366
Name:MONTEGARI, EILEEN ANNE (RNP)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:ANNE
Last Name:MONTEGARI
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 RICHMOND TOWNHOUSE ROAD
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:RI
Mailing Address - Zip Code:02812-1043
Mailing Address - Country:US
Mailing Address - Phone:401-539-9023
Mailing Address - Fax:
Practice Address - Street 1:830 CHALKSTONE AVENUE
Practice Address - Street 2:
Practice Address - City:PROVICENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4799
Practice Address - Country:US
Practice Address - Phone:401-273-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP28787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily