Individual
MIQUEILA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F-PMHNP
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60206007
WA
Other
Enumeration date
02/10/2011
Last updated
03/12/2024
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