Individual
SUSAN E MONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-BC
Contact information
Practice address
81 HILLCREST DR STE 100, PUNXSUTAWNEY, PA 15767-2605
(814) 938-7066
(814) 938-4509
Mailing address
81 HILLCREST DR STE 100, PUNXSUTAWNEY, PA 15767-2605
(814) 938-7066
(814) 938-4509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103136604-0003
—
PA
Enumeration date
02/25/2008
Last updated
04/30/2020
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