Individual
ANTONIA E MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(785) 484-0144
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(785) 484-0144
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
45378
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161227
BCBS OF KANSAS
KS
05
—
200253990A
—
KS
01
—
460600
FIRSTGUARD
KS
Enumeration date
08/21/2006
Last updated
11/01/2007
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