Individual
HEATHER N. MONTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86030246
—
363A00000X
Physician Assistant
Primary
13136
MN
363A00000X
Physician Assistant
PA60885717
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154726628
—
WA
Enumeration date
10/27/2014
Last updated
08/24/2020
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