Individual
MARY LEE ELIZABETH MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 17TH AVE S, SEATTLE, WA 98144-2149
(206) 550-8582
Mailing address
212 17TH AVE S, SEATTLE, WA 98144-2149
(206) 550-8582
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
60474121
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61456777
WA
Other
Enumeration date
02/15/2023
Last updated
08/02/2023
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