Individual
MARY BROWN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9415 HIGH HILL CT, SAINT LOUIS, MO 63126-2106
(314) 458-2793
Mailing address
9415 HIGH HILL CT, SAINT LOUIS, MO 63126-2106
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022039874
MO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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