Individual
CAROL MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3211 PROVIDENCE DR, ANCHORAGE, AK 99508-4614
(907) 786-4040
Mailing address
3211 PROVIDENCE DR, ANCHORAGE, AK 99508-4614
(907) 786-4040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
472
AK
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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