Most Relevant Information
Provider Data
| NPI Number: | 1003320359 |
| Provider Name: | MARIA MARCELA MONTENEGRO CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R180269 |
Most Important Dates
| Enumeration Date: | 11/24/2017 |
| Last Updated: | 10/25/2018 |
Provider Practice Location
16 S EUTAW ST FL 1
BALTIMORE
MD
212011606
Practice Location Phone/Fax
| Phone: | 4103285408 |
| Fax: | 4103281909 |
Provider Mailing Location
306 W REDWOOD ST FL 4
BALTIMORE
MD
212011708
Provider Mailing Phone/Fax
| Phone: | 6672141720 |
| Fax: | 4107066976 |