Individual
SHAYLEIGH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
415 6TH STREET, LEWISTON, ID 83501
(208) 799-5226
(208) 799-5798
Mailing address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 799-5226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00
ID
Other
Enumeration date
08/14/2024
Last updated
07/16/2025
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