Individual
CYNTHIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 E GALA ST STE 3, MERIDIAN, ID 83642-7692
(208) 888-5848
Mailing address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 269-7100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
109020
AK
Other
Enumeration date
04/27/2016
Last updated
10/26/2020
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