Individual
SHANON DAVID MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-7279
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704217286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG0216095
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
03/01/2016
Last updated
02/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us