Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW BRIAN MONTIEL LACANILAO, RN
Active Sole ProprietorMATTHEW BRIAN MONTIEL LACANILAO, RN is a Critical Care Nurse healthcare provider located in SANTA PAULA, California. NPI 1629609904 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · SANTA PAULA, CA
Registration Details
- NPI Number
- 1629609904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2020 (6.591688226254 yrs)
- Last Updated
- Jan 27, 2020
- License
-
95121166 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1009 LAUREL RDSANTA PAULA, CA, 930601231Browse CA providers · Browse ZIP 93060
- Phone
- 8052589336
- Primary Specialty
-
Critical Care Nurse
163WC0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.