Individual
ANNETTE M MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1133
(303) 415-7610
(303) 415-7618
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-7610
(303) 415-7618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0005741-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83075721
—
CO
Enumeration date
06/30/2008
Last updated
11/09/2017
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