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Individual

MARIYAN MONTAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
242 GREEN ST, GARDNER, MA 01440-1373
(978) 630-5020
Mailing address
PO BOX 142, STERLING, MA 01564-0142
(978) 870-4397

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
070619-21
NH
163W00000X
Registered Nurse
4704289575
MI
363L00000X
Nurse Practitioner
RN2274743
MA
363LF0000X
Family Nurse Practitioner
Primary
2274743
MA

Other

Enumeration date
08/25/2015
Last updated
12/12/2025
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