Individual
STEPHANIE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4423
(919) 843-4810
Mailing address
605 ASHFORD LN, DURHAM, NC 27713-7142
(919) 401-2713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
74018
NC
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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