Individual
MRS. CRYSTAL A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109-1190
(651) 232-5354
Mailing address
15820 DAKOTA ST NW, ANDOVER, MN 55304-2329
(574) 298-7797
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
2059
MN
363LF0000X
Family Nurse Practitioner
Primary
2059
MN
Other
Enumeration date
10/13/2009
Last updated
10/22/2021
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