Individual
ANTONIA E MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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