Individual
LESLIE MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 DUDLEY STREET, PROVIDENCE, RI 02905
(401) 444-4000
Mailing address
80 DUDLEY STREET, PROVIDENCE, RI 02905
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04439
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN53111
RI
Other
Enumeration date
02/08/2023
Last updated
05/07/2026
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