Individual
MRS. MARY LEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(740) 722-3450
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(740) 722-3450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP07494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2715119
—
OH
Enumeration date
06/20/2007
Last updated
01/27/2016
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