Ida Sue Montgomery in Fort Rucker - Primary Care
Ida Sue Montgomery - NPI 1104809359
Ida Sue Montgomery is a Primary Care in Fort Rucker, Alabama. Ida Sue Montgomery practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Ida Sue Montgomery is 1104809359. The last update date is 2007-07-08.
Ida Sue Montgomery's current location address is 301 Andrews Avenue, Fort Rucker, Alabama. You can contact this provider via phone number 3342557387. The mailing address for Ida Sue Montgomery is 301 Andrews Avenue, Fort Rucker, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ida Sue Montgomery |
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Address | 301 Andrews Avenue, Fort Rucker, Alabama |
Phone Number | 3342557387 |
Fax Number | |
Sole Proprietor | X |
Credentials | CRNP |
NPI Number Detail
NPI Number | 1104809359 |
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Provider Enumeration Date | 2005-11-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 301 Andrews Avenue |
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City | Fort Rucker |
State | Alabama (AL) |
Post Code | 36362 |
Phone Number | 3342557387 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
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Taxonomy | 363Lp2300X |
Licence No | APRN-384 |
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code assigned to Ida Sue Montgomery by the Centers for Medicare & Medicaid Services?
The Ida Sue Montgomery has been issued the NPI (National Provider Identifier) 1104809359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ida Sue Montgomery's physical address?
The Ida Sue Montgomery is physically located at 301 Andrews Avenue, in the city of Fort Rucker, AL, with the postal code 36362.
What is Ida Sue Montgomery's area of expertise and its corresponding taxonomy classification?
The Ida Sue Montgomery's field of specialization is Primary Care, and it falls under the taxonomy code 363Lp2300X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104809359 assigned to Ida Sue Montgomery?
The Ida Sue Montgomery was issued its 1104809359 on 2005-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ida Sue Montgomery most recently updated?
The details pertaining to the Ida Sue Montgomery, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.