Individual
HEIDI S MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2990 N SWAN RD, #227, TUCSON, AZ 85712-6025
(520) 664-8624
(520) 203-8899
Mailing address
2675 N WYATT DR, #126, TUCSON, AZ 85712-6107
(520) 548-3725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN079558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390097
—
AZ
Enumeration date
10/05/2006
Last updated
03/22/2017
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