| Shelly Kristin Montalvo, CRNP | |
|
145 Research Blvd Ste 100, Madison, AL 35758-2176 | |
| (256) 882-1510 | |
| (256) 217-5838 |
| Full Name | Shelly Kristin Montalvo |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 145 Research Blvd Ste 100, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255101069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1-113724 (Alabama) | Primary |
| Entity Name | Innova Primary Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689954240 PECOS PAC ID: 4688845571 Enrollment ID: O20110926000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Kristin Montalvo, CRNP 247 Chateau Dr Sw, Huntsville, AL 35801-6401 Ph: (256) 882-1510 | Shelly Kristin Montalvo, CRNP 145 Research Blvd Ste 100, Madison, AL 35758-2176 Ph: (256) 882-1510 |
Kealan O'neill, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 104 Spenryn Dr, Madison, AL 35758 Phone: 256-772-4300 Fax: 256-772-4302 | |
Samuel Waling, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647 | |
Deborah Booher Kolb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8371 Highway 72 W, Suite 200, Madison, AL 35758 Phone: 256-722-0664 Fax: 256-722-0285 | |
Leelasri Vanguru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Hughes Rd Ste 10, Madison, AL 35758 Phone: 256-464-2920 Fax: 256-542-3200 | |
Mrs. Valerie Levick Wright, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647 | |
Dr. Caswall C Harrigan Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Highway 72 W, Suite 100, Madison, AL 35758 Phone: 256-837-2271 Fax: 256-837-2910 | |
David W Purner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 |