Provider Demographics
NPI:1316261787
Name:MONTELIONE, RICHELLE MARY (APRN)
Entity type:Individual
Prefix:MS
First Name:RICHELLE
Middle Name:MARY
Last Name:MONTELIONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 3RD ST S UNIT 711
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4264
Mailing Address - Country:US
Mailing Address - Phone:617-968-8693
Mailing Address - Fax:
Practice Address - Street 1:330 3RD ST S UNIT 711
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4264
Practice Address - Country:US
Practice Address - Phone:617-968-8693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004432363LA2200X, 363L00000X
GARN267895363LA2200X
MARN255705363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health