Most Relevant Information
Provider Data
| NPI Number: | 1003647256 |
| Provider Name: | SHANEL MONTALVO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2024025089 |
Most Important Dates
| Enumeration Date: | 08/09/2024 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
2248 WELSCH INDUSTRIAL CT
SAINT LOUIS
MO
631464222
Practice Location Phone/Fax
| Phone: | 3143569830 |
| Fax: |
Provider Mailing Location
911 LOCUST ST APT 606
SAINT LOUIS
MO
631011447
Provider Mailing Phone/Fax
| Phone: | 5853976620 |
| Fax: |