Doctor Name: | MS. JANICE ANDREA MONTOYA |
NPI Number: | 1023109360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA C |
License Number: | 710 |
Business Practice Address: | 1755 48th St Ste 100 Boulder, CO - 803012712 |
Business Phone Number: | 7209327714 |
Business Fax Number: | 7208900502 |
Mailing Address: | 382 S Arthur Ave, LOUISVILLE |
State: | CO |
Postal Code: | 800273094 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |