Individual
MAKENLEA K MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2011 CORONA RD STE 207, COLUMBIA, MO 65203-2548
(573) 234-1000
(573) 234-1771
Mailing address
2011 CORONA RD STE 207, COLUMBIA, MO 65203-2548
(573) 234-1000
(573) 234-1771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022049694
MO
Other
Enumeration date
12/29/2022
Last updated
08/18/2025
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