Individual
ANDREA JANE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
444 HONEYSUCKLE LN, SAINT LOUIS, MO 63119-4521
(314) 498-1174
Mailing address
444 HONEYSUCKLE LN, SAINT LOUIS, MO 63119-4521
(314) 498-1174
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2020028109
MO
Other
Enumeration date
08/28/2020
Last updated
05/13/2025
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