Individual
ADJOA MONTFORD
Active
Individual
ADJOA MONTFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-ANCC
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
284903
NY
363LF0000X
Family Nurse Practitioner
Primary
347270
NY
Other
Enumeration date
01/28/2008
Last updated
06/09/2021
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