Individual
RACHEL MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1390 S 1100 E STE 202, SALT LAKE CITY, UT 84105-2463
(801) 872-3717
Mailing address
1033 E KENSINGTON AVE, SALT LAKE CITY, UT 84105-2403
(801) 808-0472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7314432-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7314432-4405
UT
Other
Enumeration date
08/30/2016
Last updated
04/16/2025
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