Individual
BROOKE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2000
Mailing address
1321 KERSHAW ST, OGDEN, UT 84403-0403
(801) 309-6675
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5902523-4405
UT
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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