Individual
DIONNE LASHAWN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 459-3540
Mailing address
402 IDITAROD AVE, FAIRBANKS, AK 99701-3732
(702) 755-5019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172801
AK
176B00000X
Midwife
11868743-4402
UT
176B00000X
Midwife
Primary
189197
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821677600
—
AK
05
—
1821677600
—
UT
Enumeration date
04/07/2021
Last updated
04/01/2025
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