NPI 1396147583 LA SHANDA MONTGOMERY RN, MSN, FNP-C RED OAK TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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La Shanda Montgomery - NPI: 1396147583

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LA SHANDA MONTGOMERY
NPI Number: 1396147583
Entity Type Code: Individual (1)
Gender: F
Credentials: RN, MSN, FNP-C
License Number: AP126363
Business Practice Address: 105 Harris Ave
Red Oak, TX - 751544216
Business Phone Number: 2147969318
Business Fax Number:
Mailing Address: 105 Harris Ave,
RED OAK
State: TX
Postal Code: 751544216
Phone Number:
Fax Number:
NPI Enumeration Date: 09/19/2014
NPI Last Update Date: 05/26/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: AP126363
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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