Justin Bernard Montgomery FNP-C

NPI 1043501778 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1043501778
Gender Male
Enumeration Date 04/28/2011
Last Updated 12/05/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1 MEDICAL DR
ATTN CENTERS FOR HEALTHY AGING
LEBANON NH, 03756-1000, US
Phone (603) 650-5000
Fax
Business Location
1 MEDICAL DR
ATTN CENTERS FOR HEALTHY AGING
LEBANON NH, 03756-1000, US
Phone (603) 650-5000
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State New Hampshire
License Number 052034-23
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According to our database, Mr. Justin Bernard Montgomery FNP-C NPI is 1043501778, taxonomy code is 363LF0000X and license number is 052034-23, license state is located at New Hampshire. Justin Bernard Montgomery FNP-C physically located at 1 Medical Dr, Lebanon NH, 03756-1000. NPI Number Justin Bernard Montgomery FNP-C has the Individual type.

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1043501778 NPI number is provided on an as is basis without warranty of any kind. 1043501778 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Bernard Montgomery FNP-C are for informational purposes only.