Individual
TAYLOR DANIELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4828 KINGSWAY DR, GRAND PRAIRIE, TX 75052-4575
(817) 944-7298
Mailing address
4828 KINGSWAY DR, GRAND PRAIRIE, TX 75052-4575
(817) 944-7298
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1074352
TX
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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