Individual
MYA JANELL MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5538 GOLDEN WILLOW DR, FORT COLLINS, CO 80528-6395
(404) 825-3073
(888) 512-2215
Mailing address
5538 GOLDEN WILLOW DR, FORT COLLINS, CO 80528-6395
(404) 825-3073
(888) 512-2215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215077
NC
367500000X
Certified Registered Nurse Anesthetist
082154
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0996750
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053694
—
NC
Enumeration date
03/10/2009
Last updated
03/05/2025
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