Individual
BRITTANY RENEE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6845 E US HIGHWAY 36 STE 600, AVON, IN 46123-8132
(317) 272-4920
(317) 272-4906
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014369A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430I46
MEDICARE PTAN
IN
05
—
300082041
—
IN
Enumeration date
10/03/2023
Last updated
11/17/2023
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