Individual
STEPHANIE MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 310-6245
Mailing address
305 DEVON DR, CHESTERTOWN, MD 21620-3366
(202) 257-7712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R189729
MD
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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