Individual
BROOKE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
116 E FRONT ST STE A, LAUREL, DE 19956-1725
(765) 265-1214
Mailing address
116 E FRONT ST STE A, LAUREL, DE 19956-1725
(302) 280-6358
(302) 280-6321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28160822A
IN
363LF0000X
Family Nurse Practitioner
28160822A
IN
363LF0000X
Family Nurse Practitioner
Primary
LG-0011527
DE
Other
Enumeration date
03/16/2016
Last updated
11/15/2024
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