Individual
MRS. LIANN MONTOYA
Active
Individual
MRS. LIANN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN SFA
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
R52805
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM006H17
BCBS
NM
01
—
10034668
LOVELACE
NM
05
—
47522
—
NM
01
—
R52805
NEW MEXICO BOARD OF NURSI
—
Enumeration date
08/23/2007
Last updated
05/06/2008
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