Brisa Montes
Individual provider Active NPI Licensed Practical Nurse · Alva, OK
NPI 1487220828 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1487220828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 200065 (OK)
- Practice address
- 604 Choctaw St
Alva, OK 73717-1626 - Phone
- (580) 327-1112
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200065 | OK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 200065 | OK | Yes |
Addresses
Primary practice location
604 Choctaw St
Alva, OK 73717-1626
Mailing address
604 Choctaw St
Alva, OK 73717-1626
Phone (580) 327-1112
Other providers in Alva, OK
- Megan S McMurphy
- Charita Lou McOsker
- Michael Dale Meier
- Bruce Lynn Meyer
- Louis Almand Miele IV
- Callie Mosburg
- New Image Dental Care
- Christy L Newland Owens
- Jennifer Nichols
- Larry Nickelson
All providers in Alva, OK · Licensed Practical Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.