# MR. LARRY ALLEN MONTGOMERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760092340
- **Gender:** Man
- **Credential:** APRN, AGNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333300000X | Emergency Response System Companies | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 11024684 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 14141481-4405 | UT | — |
| 363LA2200X | Adult Health Nurse Practitioner | 211116 | OK | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 24191369 | VA | — |
| 363LA2200X | Adult Health Nurse Practitioner | 314882 | AZ | — |
| 363LA2200X | Adult Health Nurse Practitioner | 53-83579-072 | KS | — |
| 363LA2200X | Adult Health Nurse Practitioner | 80565 | NM | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP61605671 | WA | — |
| 363LA2200X | Adult Health Nurse Practitioner | GAA-NP001276 | GA | — |
| 363LA2200X | Adult Health Nurse Practitioner | NP500008018 | DC | — |

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 06/24/2026