Individual
CECILY A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 426-6344
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61044813
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61044813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156646
—
WA
Enumeration date
04/07/2020
Last updated
12/07/2020
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