Mandrill Deangelo Montgomery in Greenville - Nurse Anesthetist, Certified Registered
Mandrill Deangelo Montgomery - NPI 1255505665
Mandrill Deangelo Montgomery is a Nurse Anesthetist, Certified Registered in Greenville, South Carolina. Mandrill Deangelo Montgomery practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mandrill Deangelo Montgomery is 1255505665. The last update date is 2014-03-19.
Mandrill Deangelo Montgomery's current location address is 1 Independence Pt, Greenville, South Carolina. You can contact this provider via phone number 8647976307 and fax number 8647976198. The mailing address for Mandrill Deangelo Montgomery is 1 Independence Pt, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mandrill Deangelo Montgomery |
|---|---|
| Address | 1 Independence Pt, Greenville, South Carolina |
| Phone Number | 8647976307 |
| Fax Number | 8647976198 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1255505665 |
|---|---|
| Provider Enumeration Date | 2008-04-16 |
| Last Updated Date | 2014-03-19 |
Provider Mailing Address Detail
| Address | 1 Independence Pt |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296154545 |
| Phone Number | 8647976307 |
| Fax Number | 8647976198 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 101035 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57-6007863 | SC | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Mandrill Deangelo Montgomery by the Centers for Medicare & Medicaid Services (CMS)?
The Mandrill Deangelo Montgomery has been assigned the NPI (National Provider Identifier) 1255505665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mandrill Deangelo Montgomery?
The Mandrill Deangelo Montgomery is situated at 1 Independence Pt, in the city of Greenville, state of SC, with the zip code 296154545.
What is Mandrill Deangelo Montgomery's area of expertise and its corresponding taxonomy classification?
The Mandrill Deangelo Montgomery's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mandrill Deangelo Montgomery receive the assignment of its 1255505665 from the Centers for Medicare & Medicaid Services?
The Mandrill Deangelo Montgomery was issued its 1255505665 by the Centers for Medicare & Medicaid Services on 2008-04-16.
When was the information regarding Mandrill Deangelo Montgomery most recently updated?
The details pertaining to the Mandrill Deangelo Montgomery, including its address, specialty, and other relevant information, were last refreshed on 2014-03-19.
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