Doctor Name: | MARSHA J MONTBRIAND |
NPI Number: | 1003884727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 173691 |
Business Practice Address: | 5 Medical Plaza Dr Suite 250 Roseville, CA - 956612868 |
Business Phone Number: | 9167822229 |
Business Fax Number: | 9167979414 |
Mailing Address: | 5 Medical Plaza Dr, Suite 250 ROSEVILLE |
State: | CA |
Postal Code: | 956612868 |
Phone Number: | 9167822229 |
Fax Number: | 9167979414 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 08/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 173691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |