Doctor Name: | RHONDA LEA MONTGOMERY |
NPI Number: | 1790047017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APN |
License Number: | LT-0000103 |
Business Practice Address: | 1581 Caldwell Corner Rd Townsend, DE - 197349258 |
Business Phone Number: | 3027507553 |
Business Fax Number: | |
Mailing Address: | 1581 Caldwell Corner Rd, TOWNSEND |
State: | DE |
Postal Code: | 197349258 |
Phone Number: | 3027507553 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2012 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SC1501X |
License Number: | LT-0000103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Community Health/Public Health |
Taxonomy Definition: |