Individual
MS. ISABEL NICOLE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 S KENNEDY DR STE 300, BRADLEY, IL 60915-2682
(815) 935-7532
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(847) 902-1014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.023828
IL
363LF0000X
Family Nurse Practitioner
664142
NY
Other
Enumeration date
02/04/2020
Last updated
09/27/2022
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