Individual
MICHELLE L MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CONVENTION AVE, PHILADELPHIA, PA 19104-4311
(215) 662-4000
Mailing address
44 QUAKER RD, MICKLETON, NJ 08056-1303
(856) 364-5369
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP027221
PA
363LA2100X
Acute Care Nurse Practitioner
SP07221
PA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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