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Individual
MRS. SONYA MINTES MONTGOMERY
Active
Individual
MRS. SONYA MINTES MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP CS PMHCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
017226502
NC
363L00000X
Nurse Practitioner
201440035826122
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09436000
MEGALLAN
NC
01
—
1054617
CIGNA
NC
01
—
60093
BCBS
NC
05
—
6113035
—
NC
Enumeration date
01/19/2006
Last updated
06/06/2013
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