Individual
ELIZABETH NELL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1812 S MILDRED ST STE H, TACOMA, WA 98465-1634
(253) 301-5270
Mailing address
6519 55TH STREET CT W, UNIVERSITY PLACE, WA 98467-2968
(425) 681-8676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61059965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60582180
RN LICENSE
WA
01
—
61059965
WA ARNP CREDENTIAL
WA
01
—
F01201277
AANP FNP CERTIFICATION
—
Enumeration date
07/02/2020
Last updated
09/02/2020
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