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Individual

EMILY NICOLE MONTAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
775 POLE LINE RD W STE 103, TWIN FALLS, ID 83301-5819
(208) 814-8375
(208) 814-8376
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71758
ID

Other

Enumeration date
05/09/2022
Last updated
12/11/2023
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