Individual
MR. STEPHEN MICHAEL MONTGOMERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5642 HAMILTON AVE, CINCINNATI, OH 45224-3114
(513) 636-4120
Mailing address
3333 BURNET AVE., ML 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029723
OH
Other
Enumeration date
08/19/2021
Last updated
10/15/2021
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